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Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... Noninflammatory • Bloody ... tumor • Non-bloody ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... Crystal induced (Gout ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... : Is the pain from ... mainly or only during ... #Pain #MSK #rheumatology ... #differential #diagnosis
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
lesions + Rheumatic pain ... thickening • Osteitis: pain ... Diagnosis: ... • Rule out other ... SAPHO #Syndrome #Rheumatology
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
onset of swelling, pain ... Metabolic syndrome • Medications ... swelling, significant pain ... #Comparison #rheumatology ... #Diagnosis
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Nodules • RA • Gout ... Tophi - Gout ... arteritis • Bloody ... #diagnosis #rheumatology
American College of Rheumatology Diagnostic Criteria for Gout Presence of characteristic urate crystals in the joint fluid
American College of Rheumatology ... Diagnostic Criteria ... for Gout Presence ... arthritis - Pain ... #diagnosis #Rheumatology
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 Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
phenomenon (20%) Joints ... lesions Abdominal pain ... Glomerulonephritis Myositis(5%) Blood ... signs #symptoms #diagnosis ... #rheumatology
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
Gout - Diagnosis ... deposition in joints ... Metabolic syndrome • Medications ... swelling, significant pain ... #treatment #rheumatology
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Fever/Chills/Joint ... pain/Night sweats ... - Pseudo gout ... #msk #physicalexam
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