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diagnosis rheumatology arthritis management approach autoimmune conditions dermatology disease erythematosus extrarticular gca giantcell laboratory lupus msk myopathy myositis rheumatic rheumatoid
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
alterations (e.g ... derangements (e.g ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... syndrome - SLE Neurologic ... disease, Vasculitis (e.g ... #pain #differential ... #diagnosis #rheumatology
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
lesions + Rheumatic pain ... nonerosive inflammatory arthritis ... thickening • Osteitis: pain ... antiinflammatory properties e.g ... Tetracyclines etc
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... inflammatory disease (e.g ... Chemistry profile (e.g ... , and low back pain ... #laboratory #workup
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... not be subtle e.g ... very remarkable w/differential ... E.g. 80 yo ESR cutoff ... claudication: pain
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... • Malignancy (e.g ... Endocrine disorders (e.g ... : • Joint pain ... arthropathy • 90% joints
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Aldolase levels • EMG ... Syndrome: Fever, joint ... • Nonerosive arthritis ... #differential #
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