56 results
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
= definite RA Joint ... , +/- large joints ... ) - 5 points Serology ... points Duration of symptoms ... Classification #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... cutoff... >10K is ... #rheumatology # ... approach #workup #differential
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History: Is ... or nerve root Symptoms ... - Stiffness is ... #Pain #MSK #rheumatology ... approach #workup #differential
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... - Differential Diagnosis ... (inflammation is ... should have other symptoms ... Disorders #msk #Differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... constitutional symptoms ... - Autoimmune Rheumatologic ... #pain #Differential ... Diagnosis #MSK #rheumatology
Somatoform Disorders - Differential Diagnosis Algorithm
 - Patient presents with complex medical problem or symptoms that
Somatoform Disorders - Differential ... medical problem or symptoms ... a physical symptom ... Conversion Disorder - Neurologic ... Conversion #Disorders #Differential
Causes of Polyneuropathy - Differential Diagnosis Algorithm
 • Metabolic: DM, Hypothyroidism, CKD, Cirrhosis, Nutritional deficiency
 •
Polyneuropathy - Differential ... Non-Infectious: GBS ... Mitochondrial issues - VA Joint ... Polyneuropathy #Differential ... Algorithm #causes #neurology
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... gangrenosum • IBD ... #dermatology #joint ... #skin #rashes #differential ... #diagnosis #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... • Clubbing - IBD ... syndrome - SLE Neurologic ... #pain #differential ... #diagnosis #rheumatology
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
"pass out" • Symptoms ... Feels like "room is ... spinning" • Symptoms ... Algorithm #dizzy #differential ... #diagnosis #neurology