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diagnosis arthritis msk management workup approach cppd disease algorithm autoimmune calcium causes comparison dangerous deposition erythematosus fatal fever fungal gout
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 ... #rheumatology # ... approach #workup #differential
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Pain - Differential ... Podagra, Tophi) • Pseudogout ... • Early Rheumatic ... Rheumatic Fever Acute ... JointPain #MSK #Differential
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
- Differential ... between visual and pain ... : - Acute angle-closure ... #differential # ... ophthalmology #Neurology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... induced (Gout/Pseudogout ... - Autoimmune Rheumatologic ... Lyme • Gout/Pseudogout ... #pain #Differential
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... the afternoon or early ... Arthritis: • Acute ... #Pain #MSK #rheumatology ... approach #workup #differential
13 Dangerous Causes of Headache: - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
or at work) - acute ... dissection: unilateral pain ... thrombophilia, neurologic ... Fatal #Dangerous #Deadly ... #Differential
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
onset of swelling, pain ... shaped • Weakly ... include forefoot, ankles ... swelling, significant pain ... Gout #Comparison #rheumatology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
onset of swelling, pain ... Rhomboid shaped • Weakly ... neck pain, fever ... , and headache, ... Deposition #Disease #Rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... fluid • Gout or pseudogout ... dihydrate crystals (pseudogout ... Screening Tests for Acute ... , and low back pain
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
50 years • New headache ... affects the skin, neurologic ... vesicular eruption • Joints ... Palpable purpura, joint ... #Diagnosis #Rheumatology
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