45 results
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Hyperthyroidism Fever ... • Rheumatic fever ... , Rheumatic fever ... • New murmur, fever ... #pain #differential
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
acute rheumatic fever ... Chronic = RA, SLE ... #rheumatology # ... approach #workup ... #differential #
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
Causes of Fever ... Autoimmune: • SLE ... Other: • Drug fever ... • Factitious fever ... Osteomyelitis • Occult abscess
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... • Rheumatic fever ... #dermatology #joint ... #skin #rashes #differential ... #diagnosis #rheumatology
Unexpected source of fever: Liver abscess on point-of-care ultrasound

- Dr. Dan Kim https://twitter.com/dan___kim/status/1016714544352116736

#Liver #Abscess #Hepatic #Clinical
Unexpected source of fever ... : Liver abscess ... on point-of-care ... ultrasound - ... #Abscess #Hepatic
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... • Rheumatic fever ... streptococci (rheumatic fever ... arthritis • SLE ... #pain #Differential
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
stiffness in proximal joints ... , Fever, No muscle ... myopathy) VA Joint ... Myopathies #myopathy #differential ... diagnosis #comparison #rheumatology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Systemic Lupus (SLE ... ) General: Fever ... phenomenon (20%) Joints ... Arthritis in small joints ... symptoms #diagnosis #rheumatology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Hypernatremia - Differential ... Osmotic diuresis (see ... • Decreased level ... consciousness • No access ... ICU patients • Fever
Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
Intraabdominal Abscess ... RUSH exam for fever ... intra-abdominal abscess ... See CT scan. ... #POCUS #ultrasound