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diagnosis rheumatology arthritis erythematosus sle approach classification clinical clues differentiation effusions extremity focal fope knee leg lesion lower management monoarthritis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... spondyloarthropathies, lupus ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Top 10 situations when to think about lupus 1) Inflammatory joint pain (especially in the wrists and
) Inflammatory joint ... pain (especially ... and fingers, or pain ... the face (many differential ... search ANA and aPL
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
ATRA treatment Pathophysiology ... myalgias, HoTN, edema ... effusions, weight gain ... initiation • Differential ... diagnosis #management #hematology
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Causes of Leg Pain ... Wounds/ulcers, Edema ... lower #extremity #msk ... #physicalexam
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology Imaging Findings: • Arrows identifying the characteristic edema-like signal
FOPE lesion) - MSK ... adolescent knee pain ... - Pathologic ... Some studies point ... (save $$) Differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... , erythema and WBC ... weeks) Can Be Caused ... #pain #Differential ... #Diagnosis #MSK
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Arthritis: • Joint ... pain • Swan neck ... arthropathy • 90% joints ... lower extremity edema
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential ... Fever/Chills/Joint ... pain/Night sweats ... diagnosis #msk # ... physicalexam
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... inflammation Others: • Lupus ... vesicular eruption - Joints ... such as systemic lupus ... Lab Tests: • CBC
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