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diagnosis approach cppd differential gout management workup comparison deposition disease pseudogout pyrophosphate treatment
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Monosodium urate • Calcium ... dihydrate • Basic calcium ... hydroxyapatite) • Calcium ... Acute or chronic infections ... #Pain #MSK #rheumatology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... spondyloarthropathies, lupus ... Lyme), reactive arthritis ... #Joint #Pain #MSK ... #rheumatology #
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
(shoulders, wrists ... precipitates with calcium ... onset of swelling, pain ... swelling, significant pain ... Gout #Comparison #rheumatology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
(shoulders, wrists ... onset of swelling, pain ... diagnose concomitant infection ... with acute neck pain ... Deposition #Disease #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 ... knees, fingers, wrist ... frequent attacks • Arthritis ... management #treatment #rheumatology
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