14 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Disease: • Pain ... disease must be ... dihydrate • Basic calcium ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... noninflammatory Signs ... Crystal induced (Gout ... Joint #pain #Differential ... #Diagnosis #MSK
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... pain/Night sweats ... - Pseudo gout ... Ligamentous injuries - Meniscal ... differential #diagnosis #msk
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease

 - Acute CPPD precipitation into the joint space ->
Chondrocalcinosis: Calcium ... polyarticular arthritis ... ) (tends to be out ... #Signs #Symptoms ... #Pathophysiology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
• Underlying disease ... states Pathophysiology ... precipitates with calcium ... onset of swelling, pain ... swelling, significant pain
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
of the Hip • Arthritis ... Chondrodysplasia Neurologic ... Pain • Valgus ... causes #symptoms #signs ... #diagnosis #msk
Popliteal (Baker’s) Cyst: Pathogenesis and clinical findings
 • Idiopathic
 • Meniscal Lesions
 • Osteoarthritis
 • Rheumatoid
Idiopathic • Meniscal ... • Rheumatoid Arthritis ... Popliteal #BakersCyst #MSK ... #pathophysiology ... #signs #symptoms
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
synovial fluid • Gout ... urate crystals (gout ... ) or calcium pyrophosphate ... profile (e.g., calcium ... , and low back pain
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
(CPPD) Pathophysiology ... swelling in weird joints ... onset of swelling, pain ... with acute neck pain ... Rheumatology #diagnosis #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... double contour sign