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diagnosis differential workup joint management msk nephrology pain treatment vasculitis acr algorithm approach casts classification comparison cppd criteria dipstick disease
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
arthritic flare ... Acute CPP Crystal ... inflammatory arthritis ... Inflammatory Arthritis ... #Comparison #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 ... negative birefringent crystals ... medications • Acute ... • Colchicine: Acute ... treatment #ULT #rheumatology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... microscopy / urinary ... sediment, renal ... osmolarity If cause ... cardiac imaging #Acute
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... , crystals, protein ... #Acute #KidneyInjury
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
sediment and color ... Microscopic exam ... • Crystals ... Acute Kidney Injury ... (AKI) FE Na <
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Chronicity: • Acute ... , gout or pseudogout ... Like in this case ... Crystals: ... Joint #Pain #MSK #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Inflammatory • Crystal ... induced (Gout/Pseudogout ... weeks) Can Be Caused ... - Autoimmune Rheumatologic ... Diagnosis #MSK #rheumatology
American College of Rheumatology Diagnostic Criteria for Gout Presence of characteristic urate crystals in the joint fluid
American College of Rheumatology ... Diagnostic Criteria for Gout ... polarized light microscopy ... one attack of acute ... criteria #diagnosis #Rheumatology
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
to phagocytosed crystals ... frequent attacks • Arthritis ... (leukocyte) crystals ... Extracellular crystals ... management #treatment #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... polarized light microscopy ... Screening Tests for Acute ... • Serum and urine ... diagnosis #testing #Rheumatology
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