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differential msk rheumatology causes effusions gout joint knee management monoarticular pain physicalexam treatment ult workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... : • Acute or chronic ... trauma (e.g., meniscal ... tears) • Congenital ... #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 ... medications • Acute ... 1) 2+ flares/year
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 ... #Septic
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 Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Knee Effusions - Septic ... Reactive Syndrome - Acute ... Ligamentous injuries - Meniscal ... #differential #diagnosis
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