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differential gout joint management monoarticular msk pain septic treatment ult workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
: • Acute or chronic ... trauma (e.g., meniscal ... tears) • Congenital ... Joint #Pain #MSK #rheumatology ... #differential #diagnosis
Approach to Gout Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals Treatment: • Weight loss, diet, d/c culprit
Approach to Gout ... Diagnosis: r/o ... septic arthritis ... 1) 2+ flares/year ... treatment #ULT #rheumatology
Differential Diagnosis of Acute Arthritis Crystal-induced arthritis: Calcium oxalate, gout, cholesterol, pseudogout, hydroxyapatite crystals Infectious arthritis: Bacteria, fungi,
Differential Diagnosis ... of Acute Arthritis ... hyperlipoproteinemia,* meniscal ... tear Systemic ... #Differential #Acute
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