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diagnosis rheumatology management approach causes inflammatory jointpain physicalexam workup algorithm arteritis autoimmune comparison conditions degenerative dermatology effusions erythematosus extrarticular extremity
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Disease: • Pain ... disease must be ... mainly or only during ... #Pain #MSK #rheumatology ... approach #workup #differential
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Pain Eyes ... , Vasculitis (e.g ... #pain #differential ... #diagnosis #rheumatology
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint ... Pain - Differential ... Oligoarticular (1-4 joints ... Inflammatory #JointPain #MSK ... #Differential #
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
Joint Disease ... in Rheumatoid arthritis ... , Lupus, etc) -> ... (using the joint ... Comparison #Versus #MSK
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... ), RA, crystal disease ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... Differential Diagnosis ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Legg-Calve-Perthes disease ... Cu deficiency etc ... - HIV - Lyme disease ... lower #extremity #msk
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Knee Effusions - Differential ... Fever/Chills/Joint ... pain/Night sweats ... Effusions: - Hematologic ... #diagnosis #msk
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
lesions + Rheumatic pain ... nonerosive inflammatory arthritis ... and lower jaw Treatment ... Tetracyclines etc ... osteoarticular and skin disease
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
very remarkable w/differential ... claudication: pain ... chews, not just pain ... Treatment of GCA ... #GiantCell #arteritis
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