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diagnosis msk approach cppd vasculitis workup classification comparison conditions management monoarthritis oligoarthritis oligoarticular polyarthritis polyarticular pseudogout pyrophosphate vasculitides
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Disease: • Pain ... oxalate Infectious ... Acute or chronic ... infections related ... #Pain #MSK #rheumatology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
about bacterial infections ... about indolent infections ... with bacterial infection ... infection. ... #rheumatology #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pseudogout) • Infectious ... Infection • ... Viral Infections ... Joint #pain #Differential ... Diagnosis #MSK #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Bacterial or viral infection ... Cardiomyopathies - Viral infection ... #Extrarticular ... #pain #differential ... #diagnosis #rheumatology
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
• Underlying disease ... : Monarticular ... diagnose concomitant infection ... Diagnose concomitant infection ... #Comparison #rheumatology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pyrophosphate Deposition ... Monoarticular ... Chronic CPP Crystal ... diagnose concomitant infection ... #Disease #Rheumatology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
to exclude are infections ... Eosinophilia, asthma, chronic ... Recurrent middle ear infections ... , recent viral infection ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Eosinophilia, asthma, chronic ... vesicular eruption - Joints ... to exclude are infections ... Vessels: Supply gut ... #diagnosis #rheumatology
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