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differential approach causes comparison gout management pathophysiology vasculitis workup classification cppd degenerative effusions erythematosus gait inflammatory jointdisease jointpain lupus monoarthritis
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... : Is the pain from ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis ... #arthritis
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... of hands/feet, knees ... pain / swelling ... #Rheumatoid #Arthritis ... #rheumatology
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
of the Hip • Arthritis ... Trauma • Strains/ tears ... Pain • Valgus ... position of knee ... #msk
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 ... #differential #diagnosis ... #msk #physicalexam
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... Differential Diagnosis ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... in Rheumatoid arthritis ... commonly affects the knee ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
onset of swelling, pain ... forefoot, ankles, knees ... swelling, significant pain ... Gout #Comparison #rheumatology ... #Diagnosis
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... : • Joint pain ... C4) • ds-DNA: Kidney ... induced SLE • Kidney ... #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... Polyarteritis Nodosa: - Kidneys ... vesicular eruption - Joints ... Kidneys -> glomerulonephritis ... #rheumatology #
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