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differential signs symptoms erythematosus pathophysiology sle systemic classification management ac acromioclavicular approach causes clinical eularacr gout knee monoarthritis monoarticular oligoarthritis
Reactive Arthritis • Inflammation of joints (commonly large joints) - Asymmetric Oligoarthritis: Joint
Reactive Arthritis ... pain in a few joints ... Effusions • Inflammation ... pathophysiology #diagnosis ... #signs #symptoms
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 ... Framework Knee Effusion ... Fever/Chills/Joint ... pain/Night sweats ... #msk #physicalexam
Patellofemoral Syndrome - Pathogenesis and clinical findings • Anterior Knee Pain with possible symptoms of 'catching'
• Secondary effusion ... with MRI effusion ... pathophysiology #diagnosis ... #signs #symptoms ... #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... suggested by warmth, effusion ... non-activity, may have effusion ... the morning • Effusion ... #Diagnosis #MSK
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
50%): Pleurisy / effusion ... of hip (rare), Arthritis ... lesions Abdominal pain ... erythematosus #signs ... #rheumatology
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus Clinical Domains: • Constitutional domain: Fever • Cutaneous domain: Non-scarring
• Arthritis domain ... in at least 2 joints ... or pericardial effusion ... Erythematosus #diagnosis ... #rheumatology
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... knees, shoulders Signs ... pain / swelling ... effusions, reduced ... #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
left shoulder pain ... Diagnosis? ... showed effusion ... effusion. ... #Arthritis #Effusion
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 Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... spondyloarthropathies, lupus ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features • RA affects 1% of population, women >
Rheumatoid arthritis ... pain, swelling, ... pain), especially ... effusion (Swelling ... #symptoms #diagnosis
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