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differential management joint syndrome approach causes comparison gout pathophysiology signs symptoms vasculitis workup activation behcet classification cppd degenerative disease effusions
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 ... Effusions - Septic Arthritis ... #differential #diagnosis ... #msk #physicalexam
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint Pain ... History: Is the pain ... e.g., meniscal tears ... #MSK #rheumatology ... #differential #diagnosis
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
of the Hip • Arthritis ... Trauma • Strains/ tears ... Sacroiliac Joint Pain ... Valgus position of knee ... #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
- Arthritis Differential ... Diagnosis Framework ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... of hands/feet, knees ... inflammatory) • joint pain ... #Rheumatoid #Arthritis ... #rheumatology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
artery aneurysms Diagnosis ... ) Differential Diagnosis ... Giant retinal tears ... Nonsurgical abdominal pain ... signs #symptoms #rheumatology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint Pain ... - Diagnostic Framework ... #Joint #Pain #MSK ... #rheumatology # ... #differential #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
Macrophage Activation Syndrome (MAS) Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH) What? A subset of
juvenile idiopathic arthritis ... • Fever is the main ... Heart, lung, and kidney ... Activation #Syndrome #Diagnosis ... #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
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