8 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
rheumatic fever ... • Chronic - Think ... • Acute = Viral ... #Joint #Pain #MSK ... #rheumatology #
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic ... Differential Diagnosis Pulmonary ... Pleural effusion, Pneumonia ... poisoning, DKA, Fever ... Depression - VA Joint
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
the time course (acute ... - Autoimmune Rheumatologic ... Viral Infections ... Differential #Diagnosis #MSK ... #rheumatology #
Based on the images alone, it is usually not possible to determine the cause of the
considered, like acute ... or chronic illness ... Lobar pneumonia ... interstitial lung disease ... Clinical #Diagnosis #Radiology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Disease: • Pain ... Arthritis: • Acute ... or chronic infections ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... • Rheumatologic ... to 12 weeks for acute ... muscle aches, joint ... or chronic pulmonary
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... not possible • Ultrasound ... • Serum urate level ... management #treatment #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
vesicular eruption • Joints ... Eosinophilia, asthma, chronic ... Palpable purpura, joint ... urticaria, recent viral ... Differential #Diagnosis #Rheumatology