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diagnosis management approach differential gout pain calcium comparison deposition disease fungal infections infectiousdiseases mycoses pseudogout pyrophosphate
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
rheumatic fever • Chronic ... hepatitis, herpes • Chronic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... : • Acute or chronic ... #Pain #MSK #rheumatology ... #approach #workup
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... disease states Pathophysiology ... inflammatory arthritis ... Chronic CPP Crystal ... Gout #Comparison #rheumatology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
) Pathophysiology ... Chronic CPP Crystal ... Resembles RA • Chronic ... Acute Pseudogout: Treatment ... Deposition #Disease #Rheumatology
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... Dual-energy CT → MSU ... #rheumatology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
pulmonary symptoms • Rheumatologic ... 85% • < 50% in chronic ... muscle aches, joint ... Aspergillosis Pathophysiology ... Meningitis, septic arthritis
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