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differential rheumatology joint approach management algorithm arteritis classification dermatology giantcell monoarthritis monoarticular myopathy myositis oligoarthritis oligoarticular petechiae petechial physicalexam polyarthritis
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
both at rest and ... improves quickly with rest ... #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Diagnosis Framework ... Autoimmune → Inflammation ... weeks) Can Be Caused ... #Diagnosis #MSK ... #rheumatology #
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
arteritis (GCA) ... claudication: pain ... chews, not just pain ... the “Chewing gum test ... identifies 85 to 95% of cases
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... lesions • Severe pain ... Palpable Rash: - Autoimmune ... deficiency Work ... Fecal occult blood test
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint Pain ... - Diagnostic Framework ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... tract, and often causes ... and branches • GCA ... retinopathy Lab Tests ... #rheumatology #
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
cartilage in the body (Autoimmune ... Sudden onset of pain ... Polyarteritis Nodosa, GCA ... : • Clinical tests ... #diagnosis #management
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential Diagnosis ... substantial muscle pain ... Tests: • Measure ... • Nonerosive arthritis ... statins - probably caused
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