8 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... trauma (e.g., meniscal ... tears) • Congenital ... Joint #Pain #MSK #rheumatology
Telescoping Fingers on Physical Exam

A 69-year-old woman with rheumatoid arthritis presented for the treatment of severe
Physical Exam A 69-year-old ... with rheumatoid arthritis ... presented for the treatment ... Clinical #Video #Rheumatology
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Diagnosis: r/o septic arthritis ... birefringent crystals Treatment ... Acute and chronic treatment ... 1) 2+ flares/year ... #ULT #rheumatology
Treatment of giant cell arteritis (GCA)

1st Line Strategy - GC 0.7 mg/kg/day, except for:
 • Aortitis
Treatment of giant ... cell arteritis ... #giantcell #arteritis ... #GCA #Treatment ... #Indications #rheumatology
Differential Diagnosis of Acute Arthritis

Crystal-induced arthritis: Calcium oxalate, gout, cholesterol, pseudogout, hydroxyapatite crystals

Infectious arthritis: Bacteria, fungi,
Diagnosis of Acute Arthritis ... Crystal-induced arthritis ... , reactive arthritis ... hyperlipoproteinemia,* meniscal ... tear Systemic
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
SLE, Reactive arthritis ... Giant retinal tears ... SLE, Reactive Arthritis ... , AS Treatment: ... signs #symptoms #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
frequent attacks • Arthritis ... cortical bone Treatment ... • Acute gout treatment ... 2 attacks in a year ... #rheumatology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Arthralgia and Arthritis ... Adenocarcinoma Treatment ... Symptomatic: artificial tears ... Sjogrens #Syndrome #Rheumatology