19 results
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Chronic Rheumatoid ... chronic disease, ... Gout The deformities ... tophaceous gout ... #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 ... , gout or pseudogout ... hepatitis, herpes • Chronic ... #rheumatology # ... approach #workup
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... Diagnosis: r/o septic arthritis ... Colchicine: Acute and chronic ... treatmentChronic ... #ULT #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Crystal induced (Gout ... - Autoimmune Rheumatologic ... fever • Lyme • Gout ... Diagnosis #MSK #rheumatology
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
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... disease states Pathophysiology ... Chronic CPP Crystal ... Inflammatory Arthritis ... #Comparison #rheumatology
Adult-Onset Still's Disease (AOSD)
Rare inflammatory disorder of unknown etiology, difficult to diagnose because of heterogenous presentation.
Must rule out other ... low ferritin, arthritis ... and chronic synovitis ... (40%) Treatment ... Disease #AOSD #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 ... treatment; consider ... #rheumatology
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
syndrome is a rare chronic ... nonerosive inflammatory arthritis ... diagnosis • Rule out ... and lower jaw Treatment ... SAPHO #Syndrome #Rheumatology