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diagnosis differential rheumatology causes management msk workup arthritis hepatology jointpain orthopedics dermatology syndrome endocrinology gastroenterology interpretation liver neurology pain pseudogout
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
), RA, crystal disease ... or pseudogout, OA ... • Non-bloody: OA ... Inflammatory, crystalline disease ... gonorrhea, Lyme, OA
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Joint Disorders ... Differential Diagnosis Algorithm ... Osteoarthritis (OA ... @AmyChung #Joint ... Differential #Diagnosis #Algorithm
Arthrocentesis - Joint Fluid Analysis Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: OA,
Arthrocentesis - Joint ... , Bacteria) by Disease ... Process: OA, ... Arthrocentesis #Joint
Chronic Shoulder Pain - Differential Diagnosis Algorithm 4 tests for the AC joint: 1. Direct palpation 2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... AC joint: 1. ... after cross-arm test ... Differential #Diagnosis #Algorithm
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
disease Inflammatory ... Joint Disease ... nociceptors -> Pain with rest ... Disease • Motion ... motion (relieved by rest
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Graves disease – ... Key teaching point ... Check pregnancy test ... Hyperthyroid #Diagnosis #Algorithm
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint ... Differential Diagnosis Algorithm ... Oligoarticular (1-4 joints ... POLYARTICULAR (>4 joints ... Differential #Diagnosis #Algorithm
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Studies in Rheumatic Diseases ... spondylitis - Sacroiliac joint ... of the affected joint ... • Sacroiliac joint ... #Rheumatic #Disease
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Disease: • Pain ... disease must be ... present both at rest ... improves quickly with rest ... necrosis, and Paget disease
Synovial Fluid Analysis: Findings (COLOR TRANSPARENCY VISCOSITY WBC COUNT (PER MM3) PMN CELL COUNT (%) GRAM STAIN CULTURE PCR TEST CRYSTALS) By Condition (Normal Noninflammatory Inflammatory:
STAIN CULTURE PCR TEST ... crystalline disease ... noncrystalline disease ... Infectious: Lyme disease ... Arthrocentesis #Joint
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