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rheumatology differential workup cppd disease gout management comparison deposition laboratory monoarthritis monoarticular oligoarthritis oligoarticular polyarthritis polyarticular pseudogout pyrophosphate rheumatic rheumatoid
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... dihydrate • Basic calcium ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... morning • Effusion leukocyte ... Joint #pain #Differential ... #Diagnosis #MSK
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
disease states Pathophysiology ... precipitates with calcium ... onset of swelling, pain ... Synovial Fluid: • WBCs ... Intracellular (leukocyte
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Disease (CPPD) Pathophysiology ... onset of swelling, pain ... Synovial Fluid: • WBCs ... culture used to diagnose ... with acute neck pain
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
crystals (gout) or calcium ... profile (e.g., calcium ... , and low back pain ... (to support a diagnosis ... laboratory #workup #diagnosis
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... Fluid Testing: • WBCs ... Intracellular (leukocyte
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