678 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... 3) Number of Joints ... infections (gonorrhea, Lyme ... bacterial, gonococcal, Lyme ... pseudogout, gonorrhea, Lyme
Lyme Disease - Diagnosis and Management Summary

Lyme Disease Epidemiology:
- Spirochete
- Reservoir: small mammals & birds
- Transmitted
Lyme Disease - Diagnosis ... Management Summary Lyme ... Summer months Lyme ... Arthritis: - Large joints ... - Joint swelling
Tick Borne Illnesses
 • Lyme (Borrelia)
 • Babesiosis (Babesia)
 • Human Monocytic Ehrlichiosis (Ehrlichia)
 • Human
Borne Illnesses • Lyme ... Rickettsia) - VA Joint
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Lyme Disease: Early ... Arthritis - Large joints ... (knees), 1-2 joints ... CSF - CSF + Lyme ... Questions @WuidQ #Lyme
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... tuberculosis • Lyme
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Oligoarticular (1-4 joints ... Carditis) • Lyme ... POLYARTICULAR (>4 joints
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... infection • Lyme ... chronicum migrans • Lyme ... #dermatology #joint
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Infectious (Gonococcal/Lyme ... Rheumatic fever • Lyme ... Borrelia burgdorferi (Lyme ... arthritis • Lyme
Clinical Manifestations and Diagnosis of Lyme Disease - Borreliosis
Erythema migrans
 - 3-32 days (median: 7-10 days)
and Diagnosis of Lyme ... laboratory findings, Lyme ... IgG antibodies Lyme ... attacks of objective joint ... or a few large joints
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
Infectious: Lyme ... Arthrocentesis #Joint