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differential arthritis rheumatology pain workup approach causes clinical degenerative disease effusions extremity inflammatory jointdisease jointpain knee laboratory leg lower management
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... These are CLASSIC gouty ... • Gouty tophus ... • This case should ... PVNS/Giant Cell Tumor
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
reactive arthritis, gout ... coagulopathy, tumor ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Fever/Chills/Joint ... Effusions: - Gout ... - Pseudo gout ... #msk #physicalexam
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
inflammation that seeps ... affects the knee hip ... #Degenerative #Comparison ... #Versus #MSK #JointDisease ... #JointPain #Diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
axial (spine, shoulders ... , hips)? ... Crystal induced (Gout ... fever • Lyme • Gout ... #MSK #rheumatology
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Arthritis • Gout ... Herpes zoster - HIV ... lower #extremity #msk ... #physicalexam
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
synovial fluid • Gout ... urate crystals (gout ... ANAs RF test should ... antibody testing has ... (to support a diagnosis
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
bouts of HTN Diagnostic ... Enhancement - TM and tumor ... NMO-IgG (anti-AQP4) should ... , MOG-IgG test should ... , Hep A/B/CMV, TB
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