43 results
diagnosis differential arthritis management msk erythematosus sle comparison dermatology hematology signs symptoms systemic algorithm criteria disease effusion gout inflammatory oncology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... spondyloarthropathies, lupus ... *Always do arthrocentesis ... #Joint #Pain #MSK ... #rheumatology #
Arthrocentesis - Joint Fluid Analysis Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: OA,
Arthrocentesis - ... Joint Fluid Analysis ... Disease Process: OA ... #Differential #Arthrocentesis ... #Joint #Syonvial
Osteoarthritis (OA): Clinical findings • Stimulation of joint nociceptors in subchondral bone -> Pain with loading
Osteoarthritis (OA ... Stimulation of joint ... subchondral bone -> Pain ... nociceptors -> Pain ... Osteoarthritis #OA
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Joint Disorders ... Osteoarthritis (OA ... Polyarthritis • Systemic Lupus ... with Systemic Lupus ... @AmyChung #Joint
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
Rheumatica • Pain ... Anti-retrovirals, Gemcitabine Lupus ... Diffuse muscle pain ... uncommon 5-15% of lupus ... diagnosis #comparison #rheumatology
Skin Conditions Associated with Joint Pain Rash • Human parvovirus B19 infection Malar rash • SLE • Human parvovirus B19 infection •
Associated with Joint ... lesions • Discoid lupus ... #dermatology #joint ... #pain #skin #rashes ... differential #diagnosis #rheumatology
Arthritis of the Hand - Arthritis Patterns Osteoarthritis: • Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... the PIP and MCP joints ... but not the DIP joints ... DIP + 1st CMC = OA ... hand #diagnosis #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... nociceptors -> Pain ... painful swelling -> Pain ... Rheumatoid arthritis, Lupus ... -> Pain with motion
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Features of Systemic Lupus ... phenomenon (20%) Joints ... Arthritis in small joints ... lesions Abdominal pain ... symptoms #diagnosis #rheumatology
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint ... Pain - Differential ... Oligoarticular (1-4 joints ... POLYARTICULAR (>4 joints ... Arthritis • Systemic Lupus
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