38 results
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
GI - Felty syndrome ... • Felty's syndrome ... Shrinking lung syndrome ... Inflammation of ear ... , Marfan syndrome
A necrotic ulceration was observed on the right side of the tongue. Cervicofacial computed tomography, performed
of giant-cell arteritis ... #clinical #photo ... GCA #GiantCell #Arteritis ... #tongue #NEJM
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... A 61-year-old ... retro-orbital pain, near-complete ... Orbital #Apex #Syndrome ... #PhysicalExam #NEJM
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... with rheumatoid arthritis ... trauma (e.g., meniscal ... tears) • Congenital
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Effusions - Septic Arthritis ... Osteoarthritis - Overuse syndrome ... : - Reactive arthritis ... Seronegative Reactive Syndrome ... Ligamentous injuries - Meniscal
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 • Common Clinical Features: alveolitis, ear and
Clinical Syndrome ... Features: alveolitis, ear ... myelodysplastic syndrome ... • giant cell arteritis ... myeloid cells NEJM
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Behçet's Syndrome ... SLE, Reactive arthritis ... Giant retinal tears ... Ocular melanoma • Arthritis ... SLE, Reactive Arthritis
Primary Sjogren’s Syndrome: Pathogenesis and Clinical Findings
• Primary Sjögren's is a solitary process whereas secondary Sjögren's
Primary Sjogren’s Syndrome ... Sjögren's, the syndrome ... like rheumatoid arthritis ... - Decreased tear ... Primary #Sjogrens #Syndrome
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
- Ramsay Hunt syndrome ... Nerve V: • TMJ syndrome ... process Temporal arteritis ... Cervical spine arthritis ... Cricoarytenoid arthritis
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
Staphylococcal Scalded Skin Syndrome ... (SSSS) A 5-year-old ... Scalded #Skin #Syndrome ... SSSS #Clinical #Photo