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diagnosis differential rheumatology arthritis management workup approach clinical comparison degenerative disease effusions emergencies gouty jointdisease jointpain knee laboratory monoarthritis monoarticular
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 ... Like in this case ... #Joint #Pain #MSK
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... markers (CRP, ESR ... inflammation that seeps ... affects the knee hip ... Comparison #Versus #MSK
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... with joint-space ... • This case should ... diagnosis: • Inflammatory ... PVNS/Giant Cell Tumor
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
axial (spine, shoulders ... , hips)? ... Crystal induced (Gout ... weeks) Can Be Caused ... #Diagnosis #MSK
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Causes of Knee Effusions ... Fever/Chills/Joint ... pain/Night sweats ... differential #diagnosis #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 ... , and low back pain
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Overview Focal inflammatory ... or without back pain ... Enhancement - TM and tumor ... , MOG-IgG test should ... , Hep A/B/CMV, TB
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
pressure to the point ... affected part should ... tibia/fibula) and hip ... Rapidly progressive inflammatory ... The speed of spread
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Elevated ESR and CRP ... proximal muscles of shoulder ... and hip • Muscle ... tract, and often causes ... syndrome: Ocular inflammatory
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