12 results
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 ... infection. ... #Joint #Pain #MSK ... #rheumatology #
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic ... Diagnosis Pulmonary ... , Anaphylaxis, Infection ... Depression - VA ... Joint Chiefs @BostonChiefs
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pseudogout) • Infectious ... Infection • ... Viral Infections ... Rubella Bacterial Infection ... #rheumatology #
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Calcium oxalate Infectious ... Arthritis: • Acute ... or chronic infections ... #Pain #MSK #rheumatology ... approach #workup #differential
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
Acute CPP Crystal ... Chronic CPP Crystal ... diagnose concomitant infection ... Diagnose concomitant infection ... Gout #Comparison #rheumatology
Basophilia - Differential Diagnosis Framework

Basophils < 1% of the total white blood cell count
Basophils function similarly
Disorders: • Chronic ... Colitis and Crohn’s Disease ... Diabetes/DKA Infections ... : • helminth infections ... Diagnosis #causes #hematology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Acute CPP Crystal ... Chronic CPP Crystal ... Resembles RA • Chronic ... diagnose concomitant infection ... #Rheumatology #
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
Malaise, bleeding, infections ... extramedullary disease ... pain, bleeding, infections ... bruising, bleeding, infection ... #Leukemia #Hematology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Classification: • Acute ... permanent alopecia Differential ... fibromyalgia) • Infections ... with Lupus: • Chronic ... Erythematosus #Diagnosis #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