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differential rheumatology arthritis pain workup approach causes bone clinical comparison degenerative effusions gap globulin gout gouty inflammatory jointdisease jointpain knee
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... • This case should ... diffuse chondral disease ... PVNS/Giant Cell Tumor ... #msk #rheumatology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... coagulopathy, tumor ... that patient had ... #Joint #Pain #MSK ... #rheumatology #
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
common sites: hip ... , shoulder ... • XR, MRI to ... #differential #diagnosis ... #causes #hematology
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
Joint Disease ... inflammation that seeps ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #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
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
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Arthritis Differential Diagnosis ... axial (spine, shoulders ... , hips)? ... #Differential #Diagnosis ... #MSK #rheumatology
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
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
proximal muscles of shoulder ... and hip • Muscle ... oligoclonal bands • MRI ... Palpable purpura, joint ... #Rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
ANAs RF test should ... antibody testing has ... Additional tests: HIV ... (to support a diagnosis ... laboratory #workup #diagnosis
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