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differential rheumatology pain causes workup approach bone hematology management neurology algorithm clinical comparison deformity degenerative effusions extremity gap globulin gout
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... • This case should ... diffuse chondral disease ... PVNS/Giant Cell Tumor
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 ... coagulopathy, tumor ... that patient had ... #Joint #Pain #MSK
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
common sites: hip ... , shoulder ... • XR, MRI to ... Osteomyelitis / Septic Arthritis ... #differential #diagnosis
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Disease: • Pain ... disease must be ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
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 ... - Giant cell tumor ... #differential #diagnosis ... #msk #physicalexam
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
Joint Disease ... in Rheumatoid arthritis ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
- Differential Diagnosis ... Osteomalacia • Rickets Hip ... Joint • Hip Dysplasia ... Knee Joint • ... Deformity #Limp #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... axial (spine, shoulders ... , hips)? ... Rheumatologic Disease ... #Diagnosis #MSK
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Legg-Calve-Perthes disease ... - Lyme disease ... lower #extremity #msk ... #physicalexam
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
proximal muscles of shoulder ... and hip • Muscle ... vesicular eruption • Joints ... oligoclonal bands • MRI ... Palpable purpura, joint
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