15 results
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
subluxation causing ulnar ... • MCP + PIP + Wrist ... Polyarticular gout ... #diagnosis #rheumatology ... #inflammatory
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Lyme), reactive arthritis ... , gout or pseudogout ... Parallel, yellow = gout ... #Joint #Pain #MSK ... #rheumatology #
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
in the Hands ... wrist joints are ... deviate toward the ulnar ... #Arthritis #Hands ... #Types #Rheumatology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
(shoulders, wrists ... Monosodium urate deposition ... in joints and/or ... • Metabolic syndrome ... #Comparison #rheumatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... Therefore, the hand ... diagnosis: • Inflammatory ... #Gouty #Arthritis ... #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
differentiated: • Inflammatory ... inflammatory arthritides ... Crystal Deposition ... crystal deposition ... #Pain #MSK #rheumatology
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Crystalline - Gout ... of Lumbar Spine and ... ’s syndrome) Aseptic ... psoriasis (7-30%) • Inflammatory ... #Disorders #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Crystal induced (Gout ... - Autoimmune Rheumatologic ... fever • Lyme • Gout ... #Diagnosis #MSK ... #rheumatology #
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
a rare chronic inflammatory ... often a nonerosive inflammatory ... arthritis • Acne ... diagnosis • Rule out ... #Rheumatology #
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pyrophosphate Deposition ... (shoulders, wrists ... Crowned Dens Syndrome ... Pyrophosphate #Deposition ... #Disease #Rheumatology