15 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... tumor • Non-bloody ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
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 #
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Testing Algorithm INDICATIONS ... • Peripheral blood ... uncovered incidentally during ... #Differential #diagnosis ... #hematology #eosinophilia
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... mainly or only during ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
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
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination

This 57 yo WM reported to clinic complaining of
he reported no pain ... patient was sent to rheumatology ... further systemic workup ... Bennett & Bloom ... #rheumatology #
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
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
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... synovial fluid • Gout ... urate crystals (gout ... , and low back pain ... #Rheumatology