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diagnosis differential approach clinical pathophysiology signs symptoms vasculitis autoimmune causes disease eyelid gait gout gouty gravis henochscholeinpurpura hsp iga laboratory
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... : Is the pain from ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
coagulopathy, tumor ... that patient had ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... • This patient had ... NO prior signs ... PVNS/Giant Cell Tumor ... #rheumatology
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
• Arthritis ... joints • Decr ... Pain • Valgus ... causes #symptoms #signs ... #diagnosis #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... spine, shoulders, hips ... noninflammatory Signs ... Joint #pain #Differential ... #Diagnosis #MSK
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... antibody testing has ... Additional tests: HIV ... low back pain) ... #laboratory #workup
IgA Vasculitis – Henoch Scholein Purpura: Pathogenesis and Clinical Findings - Infectious Agents - 50% have
biologics (tumor ... Colicky abdominal pain ... insufficiency - Joints ... Arthralgia's (common), arthritis ... ankles) #HSP
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... hip • Muscle strength ... vesicular eruption • Joints ... Palpable purpura, joint ... Differential #Diagnosis #Rheumatology
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
such as cogan sign ... dismay the blood work ... have a thymic tumor ... , and always ask ... Myasthenia #Gravis #PhysicalExam
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 Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Syndrome: Fever, joint ... pain and Raynaud ... weakness + atrophy- Hip ... • Nonerosive arthritis ... • Mechanic's hands
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