12 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Chronicity: • Acute ... #Joint #Pain #MSK ... approach #workup #differential ... #diagnosis #arthritis
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... Diagnosis Algorithm ... Podagra, Tophi) • Pseudogout ... Rheumatic Fever Acute ... Inflammatory #JointPain #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... /Pseudogout) ... /Pseudogout Chronic ... #pain #Differential ... #Diagnosis #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... X-rays= DJD, no acute ... Ankle block with ... MSU crystals=Gout ... #Effusion #Clinical
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Arthritis • Gout ... /pseudogout • ... differential #diagnosis ... lower #extremity #msk
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Diagnosis Framework ... Fever/Chills/Joint ... pain/Night sweats ... Reactive Syndrome - Acute ... #diagnosis #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... deposition in joints ... attacks • Other joints ... include forefoot, ankles ... swelling, significant pain
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
synovial fluid • Gout ... or pseudogout - ... Screening Tests for Acute ... , and low back pain ... ANA and RF (if clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... of the leads l, aVL ... deviation) • Acute ... Equivalents #ECG #EKG #diagnosis ... #differential #
American College of Rheumatology Diagnostic Criteria for Gout
Presence of characteristic urate crystals in the joint fluid
Criteria for Gout ... the following clinical ... one attack of acute ... arthritis - Pain ... #ACR