49 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Approach to Joint ... mycobacterial), RA, crystal ... culture, look for crystals ... psoriatic arthritis Crystals ... #rheumatology #
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... AC joint: 1. ... after cross-arm test ... Differential #Diagnosis #Algorithm
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... Differential Diagnosis Algorithm ... Gout - Uric Acid Crystals ... Pyrophosphate Dihydrate Crystals ... Differential #Diagnosis #Algorithm
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... inflammatory arthritides Crystal ... ochronosis and crystal ... #Pain #MSK #rheumatology
Anemia - Differential Diagnosis Algorithm
 - Microcytic
 - Normocytic
 - Macrocytic

- VA Joint Chiefs @BostonChiefs

#Anemia #Differential
Differential Diagnosis Algorithm ... Macrocytic - VA Joint ... Differential #Diagnosis #Algorithm ... #hematology #MCV
Pancytopenia Framework and Differential Diagnosis

- VA Joint Chiefs @BostonChiefs

#Pancytopenia #Differential #Diagnosis #algorithm #hematology
Diagnosis - VA Joint ... Differential #Diagnosis #algorithm ... #hematology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... MCP, or shoulder joints ... deposition in joints ... attacks • Other joints ... Gout #Comparison #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... intracellular urate crystals ... pyrophosphate dihydrate crystals ... of the affected joint ... • Sacroiliac joint
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
STAIN CULTURE PCR TEST ... CRYSTALS) By ... Arthrocentesis #Joint
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... the PIP and MCP joints ... but not the DIP joints ... Psoriatic arthritis, crystal-induced ... hand #diagnosis #rheumatology