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rheumatology differential cppd pain approach monoarthritis monoarticular polyarthritis polyarticular algorithm arthropathies arthropathy chondrocalcinosis comparison deposition disorders gout laboratory management oligoarthritis
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
- Differential Diagnosis ... Crystals - “Pseudogout ... ” - Calcium Pyrophosphate ... #Disorders #msk ... #Differential #Diagnosis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... ), RA, crystal disease ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Disease: • Pain ... disease must be ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease - Acute CPPD precipitation into the joint space ->
Chondrocalcinosis: Calcium ... CPPD) Deposition Disease ... polyarticular arthritis ... affected — e.g., wrist ... Pathophysiology #Diagnosis
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pseudogout Summary ... (shoulders, wrists ... culture used to diagnose ... #Rheumatology # ... diagnosis #management
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... fluid • Gout or pseudogout ... crystals (gout) or calcium ... #laboratory #workup ... #diagnosis #testing
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... induced (Gout/Pseudogout ... Lyme • Gout/Pseudogout ... #Diagnosis #MSK ... #rheumatology #
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
(shoulders, wrists ... • Underlying disease ... precipitates with calcium ... Gout #Comparison #rheumatology ... #Diagnosis
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