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diagnosis pain causes approach bone jointpain workup clinical deformity degenerative disease gout gouty hematology infectious inflammatory jointdisease limp monoarthritis monoarticular
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... rash) • Primary HIV ... Infectious #JointPain #MSK ... #Orthopedics #Causes
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Diagnosis Algorithm ... Joint • Hip Dysplasia ... Legg-Calve-Perthes Disease Knee ... Deformity #Limp #MSK ... #Orthopedics #Causes
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Lyme), reactive arthritis ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... commonly affects the knee ... hip and L/C-spine ... #Degenerative #Comparison ... #Versus #MSK #JointDisease
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
with temporal arteritis ... /or joint aches ... Myopathies #myopathy #differential ... #diagnosis #comparison ... #rheumatology
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... diagnosed ON THE X-RAY ... Differential diagnosis ... #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... common sites: hip ... XR, MRI to dx and ... Osteomyelitis / Septic Arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... spine, shoulders, hips ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
hip • Muscle strength ... vesicular eruption • Joints ... gray matter changes ... Palpable purpura, joint ... #Diagnosis #Rheumatology
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