13 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... joint disease must be ... #MSK #rheumatology ... #approach #workup ... #differential #
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Generally affects long ... common sites: hip ... • XR, MRI to ... dz difficult to see ... Osteomyelitis / Septic Arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... Caused By: - ... Joint #pain #Differential ... #Diagnosis #MSK
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Compatible syndrome + MRI ... lesions • 80% with lung ... RingEnhancing #Lesions #Brain ... #differential # ... diagnosis #causes
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
Non-inflammatory Causes ... affecting the Brain ... pachymeningitis • HIV ... neuropathy (LHON) plus MRI ... noninflammatory #differential
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... #workup #differential
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... in HIV - Differential ... factor • May cause ... #Infections #HIV ... AIDS #pulmonary #differential
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
or without back pain ... Brain MRI: Check ... for brain and/or ... simplex virus, HIV ... #differential
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
medications, foods, stress ... cancers, including lung ... after group A Strep ... (HSV + Mycoplasma ... comparison #table #differential
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... pancreatitis), joints (arthritis ... plexus, or sclera), lungs ... lymphadenopathy, pleuritic pain ... Nephrocalcinosis causes