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differential cppd joint pseudogout vasculitis arthropathies arthropathy chondrocalcinosis classification comparison conditions deposition disorders extrarticular forms hand hands inflammatory laboratory management
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Nodules • RA • Gout ... Tophi - Gout ... Heberden's nodes ... #differential #diagnosis ... #rheumatology
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
joints (shoulders, wrists ... • Underlying disease ... precipitates with calcium ... #Comparison #rheumatology ... #Diagnosis
Common Forms of Arthritis in the Hands Acute Rheumatoid Arthritis Tender, painful, stiff joints in rheumatoid arthritis,
metacarpophalangeal, and wrist ... ) Heberden's nodes ... Bouchard's nodes ... #Types #Rheumatology ... #Forms #Diagnosis
Arthritis of the Hand - Arthritis Patterns Osteoarthritis: • Osteoarthritis of the hand usually involves the DIP and
• Bouchard's nodes ... • Heberden's nodes ... Polyarticular gout ... patterns #hand #diagnosis ... #rheumatology #
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
- Differential Diagnosis ... Algorithm Monoarthritis ... Crystalline - Gout ... “Pseudogout” - Calcium ... #Differential #Diagnosis
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
joints (shoulders, wrists ... often involves the wrists ... culture used to diagnose ... #Rheumatology # ... diagnosis #management
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... synovial fluid • Gout ... urate crystals (gout ... ) or calcium pyrophosphate ... profile (e.g., calcium
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... and often causes arthritis ... Polyarteritis Nodosa ... Vessels: Supply gut ... #rheumatology #
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease - Acute CPPD precipitation into the joint space ->
Chondrocalcinosis: Calcium ... polyarticular arthritis ... ) (tends to be out ... affected — e.g., wrist ... Pathophysiology #Diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Vasculitis Differential Diagnosis ... Polyarteritis Nodosa ... purpura, joint & gut ... #Rheumatology
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