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diagnosis differential management arthritis msk pain approach clinical dermatology oncology signs systemic vasculitis algorithm anterior antinxp2 antinxp2dm arteritis bells chronic
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
reactive arthritis, gout ... that patient had ... Parallel, yellow = gout ... #rheumatology # ... approach #workup
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
evaluation or workup ... glucocorticoid treatment ... organ-specific signs ... or symptoms (eg ... Differential #diagnosis #hematology
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... interphalangeal joint ... with joint-space ... mass and NO prior signs ... diagnosis #msk #rheumatology
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
knees, shoulders Signs ... & Symptoms: • ... exam and imaging Treatment ... corticosteroid injections ... diagnosis #management #rheumatology
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
or nerve root Symptoms ... Acute or chronic infections ... alterations (e.g ... #Pain #MSK #rheumatology ... #approach #workup
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination This 57 yo WM reported to clinic complaining of
no other symptoms ... patient was sent to rheumatology ... further systemic workup ... and treatment. ... #physicalexam #rheumatology
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 Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
and Symptoms: ... lung disease), PAH ... Musculoskeletal: joint ... Scleroderma #SSc #rheumatology ... #workup
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
noninflammatory Signs ... constitutional symptoms ... - Autoimmune Rheumatologic ... fever • Lyme • Gout ... Diagnosis #MSK #rheumatology
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
diagnosis • Rule out ... and lower jaw Treatment ... antiinflammatory properties e.g ... TNF blockers had ... SAPHO #Syndrome #Rheumatology
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Nodules • RA • Gout ... Tophi - Gout ... disease, Vasculitis (e.g ... ., PAN) • Seizures ... differential #diagnosis #rheumatology
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