10 results
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... NO prior signs ... Therefore, the hand ... : • Inflammatory ... #Gouty #Arthritis
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
, gout or pseudogout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #rheumatology # ... approach #workup
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... of hands/feet, ... knees, shoulders Signs ... effusions, reduced ROM Laboratory ... diagnosis #management #rheumatology
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
Hand - Arthritis ... of the hand most ... Polyarticular gout ... #diagnosis #rheumatology ... #inflammatory
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... noninflammatory Signs ... Crystal induced (Gout ... fever • Lyme • Gout ... Joint #pain #Differential
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... synovial fluid • Gout ... urate crystals (gout ... more time for the laboratory ... #laboratory #workup
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... leads to an acute inflammatory ... frequent attacks • Arthritis ... double contour sign ... management #treatment #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... vesicular eruption • Joints ... Palpable purpura, joint ... syndrome: Ocular inflammatory ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential ... vesicular eruption - Joints ... Syndrome: - Ocular inflammatory ... purpura: strong sign ... #diagnosis #rheumatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Diagnosis Framework Inflammatory ... Gottron sign) ... Syndrome: Fever, joint ... • Nonerosive arthritis ... • Mechanic's hands