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Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... 3) Number of Joints ... Number of Joints ... ): • Septic joint ... Inflammatory, crystalline
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Joint Disorders ... • Septic • Crystalline ... Lumbar Spine and SI Joints ... @AmyChung #Joint
Gout: Pathogenesis and Clinical Findings - Conditions of rapid cell turnover: hemolysis, psoriasis, lymphoproliferative disorders -
easily leaks into joints ... -> Uric acid crystallizes ... in a peripheral joint ... Neutrophils enter joint ... degradative enzymes into 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:
Inflammatory: crystalline ... Arthrocentesis #Joint
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 Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features • RA affects 1% of population, women >
Pathogenesis and Joint ... poly-articular joint ... affecting the small joints ... Joint involvement ... space decr joint
Rheumatoid Arthritis - 2020 ACR-EULAR Classification ≥ 6 of 10 points = definite RA Joint Involvement:
= definite RA Joint ... 2-10 large joints ... , +/- large joints ... points >10 joints ... least 1 small joint
Rachitic Rosary of Rickets on Physical Exam Bead-like prominences of bone are seen at the costochondral joints.
costochondral joints ... costochondral joint ... PhysicalExam #clinical #video
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 Phalanges - Hand Anatomy Joints between phalanges are named interphalangeal meaning “between phalanges.” Because each finger has
Hand Anatomy Joints ... interphalangeal joints ... interphalangeal) joint ... interphalangeal) joint
Common Forms of Arthritis in the Hands Acute Rheumatoid Arthritis Tender, painful, stiff joints in rheumatoid arthritis,
painful, stiff joints ... interphalangeal joints ... interphalangeal joints ... (Degenerative Joint ... Joint involvement
Reactive Arthritis • Inflammation of joints (commonly large joints) - Asymmetric Oligoarthritis: Joint
Inflammation of joints ... commonly large joints ... Oligoarthritis: Joint ... pain in a few joints ... ) - Large Joint
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