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differential msk pain dermatology gout management pseudogout syndrome vasculitis workup analysis antimda5 antimda5dm approach arthrocentesis aspiration autoimmune behcets bone calcium
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:
TEST CRYSTALS) ... nongonococcal ) #Diagnosis ... Arthrocentesis #Joint ... Effusion #Analysis #Table ... Septic #Infective #Arthritis
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 CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
(shoulders, wrists ... • Underlying disease ... Wrist, MCP, or shoulder ... Gout #Comparison #rheumatology ... #Diagnosis
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
(shoulders, wrists ... Wrist, MCP or shoulder ... culture used to diagnose ... #Rheumatology # ... diagnosis #management
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 ... #Pain #MSK #rheumatology ... #differential #diagnosis
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... • This case should ... (RA, CPPD) - Can ... diffuse chondral disease ... #msk #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
Causes of Bone/Joint ... common sites: hip, shoulder ... Osteomyelitis / Septic Arthritis ... #differential #diagnosis ... #causes #hematology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... should be obtained ... (to support a diagnosis ... laboratory #workup #diagnosis ... #testing #Rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... axial (spine, shoulders ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY RED FLAGS - In all cases there are specific markers which
and these should ... Rheumatology ... discrepancy, multiple joint ... #Limping #NWB #Algorithm ... Peds #Pediatrics #Diagnosis
Behcet's Syndrome - Diagnosis Diagnostic Criteria for Behget's Syndrome (International Study Group for Behget's Disease): • Recurrent,
Diagnostic Criteria ... Abnormal pathergy test ... vasculitis) • Arthritis ... , medium-large joints ... #rheumatology
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