9 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
organ or nerve root ... present both at rest ... osteopetrosis, avascular ... #Pain #MSK #rheumatology ... #differential #diagnosis
Behcet's Syndrome - Diagnosis
Diagnostic Criteria for Behget's Syndrome (International Study Group for Behget's Disease):
 • Recurrent,
- Diagnosis Diagnostic ... Abnormal pathergy test ... vasculitis) • Arthritis ... , medium-large joints ... #criteria #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... level to exclude myositis ... (to support a diagnosis ... laboratory #workup #diagnosis ... #testing #Rheumatology
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
nonerosive inflammatory arthritis ... Diagnosis: ... antiinflammatory properties e.g ... blockers had the best ... #Rheumatology #
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... Non-autoimmune rheumatologic ... Joint pain • Swan ... arthropathy • 90% joints ... #Rheumatology
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
osteomyelitis, Rheumatoid arthritis ... : • Nephrotic syndrome ... , low-voltage EKG ... wasting Bone/Joint ... activity of factor X, vascular
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... pulse deficits vascular ... eruption • Joints ... Palpable purpura, joint ... #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... and bullous or vesicular ... eruption - Joints ... retinopathy Lab Tests ... #rheumatology #
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Tests: • Measure ... Aldolase levels • EMG ... RP-ILD), dermato-rheumatologic ... : Fever, joint pain ... • Nonerosive arthritis