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rheumatology differential cppd disease gout management workup ac acromioclavicular approach bandemia calcium classification clinical comparison deposition dermatology effusion erythematosus laboratory
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... • WBC <2k: Noninflammatory ... lower limbs) • WBC ... presentation with lower WBC ... #Joint #Pain #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... , erythema and WBC ... morning • Effusion leukocyte ... Joint #pain #Differential ... #Diagnosis #MSK
Bandemia Overview Normal: < 1% Clinically significant: > 10% Band neutrophils are slightly less mature than segmented neutrophils and
Even with normal WBC ... relative to both WBC ... 21% had normal WBC ... #neutrophil #WBC ... #CBC #hematology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
left shoulder pain ... Diagnosis? ... WBC/CRP/ESR elevated ... Arthrocentesis-64K WBC ... clinical #ultrasound #MSK
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 CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
disease states Pathophysiology ... onset of swelling, pain ... Synovial Fluid: • WBCs ... Fluid Testing: • WBCs ... Intracellular (leukocyte
Sweet Syndrome Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
inflammation of the joints ... malaise) - Muscle pain ... Inflammation and pain ... of the joints ( ... - CBC may also
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... disease • Non-autoimmune ... : • Joint pain ... arthropathy • 90% joints ... titers > 1:80 • CBC
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
of the affected joint ... Complete blood count (CBC ... , and low back pain ... (to support a diagnosis ... laboratory #workup #diagnosis
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... vesicular eruption - Joints ... , testes -> pain ... Lab Tests: • CBC ... #rheumatology #
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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