38 results
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Chronic Rheumatoid ... chronic disease, ... Chronic Tophaceous ... long-standing chronic ... #Types #Rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
rheumatic fever • Chronic ... Lyme), reactive arthritis ... hepatitis, herpes • Chronic ... #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
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... Summary Overview: chronic ... exam and imaging Treatment ... #Rheumatoid #Arthritis ... diagnosis #management #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... acute/subacute/chronic ... • How many joints ... - Autoimmune Rheumatologic ... Diagnosis #MSK #rheumatology
Telescoping Fingers on Physical Exam

A 69-year-old woman with rheumatoid arthritis presented for the treatment of severe
with rheumatoid arthritis ... presented for the treatment ... of severe joint ... Clinical #Video #Rheumatology
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... Dermatomyositis Erythema chronicum ... • Gonococcal arthritis ... #dermatology #joint ... differential #diagnosis #rheumatology
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Diagnosis: r/o septic arthritis ... birefringent crystals Treatment ... Colchicine: Acute and chronic ... treatmentChronic ... #ULT #rheumatology
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Polycythemia Vera • Chronic ... : • Acute or Chronic ... effect following treatment ... following EtOH induced thrombocytopenia ... Algorithm #Causes #Hematology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
phenomenon (20%) Joints ... of hip (rare), Arthritis ... in small joints ... Leucopenia/lymphopenia, Thrombocytopenia ... symptoms #diagnosis #rheumatology