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Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Bacterial or viral infection ... Wilson's disease Pulmonary ... Cardiomyopathies - Viral infection ... #joint #pain #differential ... #diagnosis #rheumatology
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... Cardinal Symptoms ... localizing signs ... or symptoms - Malaria ... melioidosis, typhoid, pulmonary
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis
 • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Origin (FUO) - Differential ... Diagnosis • Infection ... Malignancy: - Hematologic ... carcinoma • Non-infectious ... Lupus, Rheumatoid arthritis
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Rheumatoid Arthritis ... Rheumatoid Nodules, Pulmonary ... #Rheumatoid #Arthritis ... RA #diagnosis #rheumatology ... #signs #symptoms
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
parvovirus B19 infection ... parvovirus B19 infection ... • Rheumatic fever ... • Gonococcal arthritis ... #skin #rashes #differential
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Knee Effusions - Differential ... - DDX: - Infection ... Effusions: - Hematologic ... Osteochondroma Hematologic ... Effusions #causes #differential
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Juvenile idiopathic arthritis ... • Rheumatoid arthritis ... Brucellosis Faget's Sign ... #Patterns #Differential
Approach to a Positive (+) Rheumatoid Factor (RF)
(+) RF does not always = RA
Rheumatic disorders:
 •
• Rheumatoid arthritis ... disorders: • Chronic infections ... Inflammatory disorders of Liver ... Rheumatoid #Factor #RF #rheumatology ... #laboratory #differential
Stages of Syphilis
Early Primary:
 • Painless chancre
 • Regional lymphadenopathy
Early Secondary:
 • Fever, malaise
 • Rash
Secondary: • Fever ... testing • No symptoms ... first year of infection ... aortic aneurysm, arteritis ... #signs #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... noninflammatory Signs ... constitutional symptoms ... Joint #pain #Differential ... Diagnosis #MSK #rheumatology