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diagnosis rheumatology msk knee pain vasculitis approach autoimmune causes classification clinical dislocation effusions erythematosus extremity injury leg lower lupus myopathy
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
present both at rest ... trauma (e.g., meniscal ... e.g., congenital hip ... osteopetrosis, avascular ... approach #workup #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 ... Fever/Chills/Joint ... Seronegative Reactive Syndrome ... Ligamentous injuries - Meniscal ... diagnosis #msk #physicalexam
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... • Arthritis ... Herpes zoster - HIV ... #Leg #pain #differential ... extremity #msk #physicalexam
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... pulse deficits vascular ... of shoulder and hip ... eruption • Joints ... Palpable purpura, joint
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
, inflammatory arthritis ... permanent alopecia Differential ... Joint pain • Swan ... arthropathy • 90% joints ... • Malar rash - spares
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... and bullous or vesicular ... eruption - Joints ... retinopathy Lab Tests ... Cryoglobulins • HIV
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
nerve injury (25%) TEST ... Check hip and ankle ... joints for associated ... Compartment syndrome ... special ligament/meniscus
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 Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Diagnostic Tests ... : Fever, joint pain ... weakness + atrophy- Hip ... • Nonerosive arthritis
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