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diagnosis differential rheumatology pain approach arthritis causes conditions erythematosus extrarticular giantcell headache inflammatory jointpain lupus management mnemonic neurology orthopedics phantoms
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
• Reactive (e.g ... Enteropathic (e.g ... polyangiitis (GPA ... Enteropathic (e.g ... Inflammatory #JointPain #MSK
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Bacterial or viral infection ... disease, Vasculitis (e.g ... ., PAN) • Seizures ... differential #diagnosis #rheumatology
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
or nerve root Symptoms ... alterations (e.g ... subchondral bone (e.g ... derangements (e.g ... #Pain #MSK #rheumatology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
) • Systemic symptoms ... and signs (e.g. ... (e.g., meningitis ... ) • Temporal arteritis ... Matthew Ho, MD PhD
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
arteritis (GCA) ... systemic sx + signs ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... #Signs #Symptoms
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... Elevated ESR and CRP GCA ... develop in pts with GCA ... • Progressive symptoms ... Palpable purpura, joint
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
• Malignancy (e.g ... . hematologic) ... Endocrine disorders (e.g ... : • Joint pain ... Induced Lupus: • Symptoms
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