13 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... infections (bacterial ... #rheumatology # ... #differential #diagnosis ... #arthritis
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
or viral infection ... syndrome - SLE Neurologic ... Cardiomyopathies - Viral infection ... #differential #diagnosis ... #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... suggested by warmth, effusion ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
STAIN CULTURE PCR ... nongonococcal ) #Diagnosis ... Arthrocentesis #Joint ... Syonvial #Fluid #Effusion ... Septic #Infective #Arthritis
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Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Calcium oxalate Infectious ... Acute or chronic infections ... related to bacterial ... #Pain #MSK #rheumatology ... #differential #diagnosis
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
antimicrobial susceptibility ... an accessible joint ... effusion • Laboratory ... Painless) Purulent Arthritis ... oligoarthritis • Distal joints
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... effusions, reduced ... corticosteroid injections ... #Rheumatoid #Arthritis ... #rheumatology
Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
 • Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
 • Bacterial: Mycobacterium
of Pericardial Effusion ... Infectious: ... Parvovirus • Bacterial ... : • Rheumatologic ... SLE, Rheumatoid Arthritis
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 • Constitutional domain: Fever
 • Cutaneous domain: Non-scarring
cutaneous lupus • Arthritis ... in at least 2 joints ... • Neurologic ... or pericardial effusion ... #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... affects the skin, neurologic ... vesicular eruption • Joints ... Palpable purpura, joint ... #Rheumatology