9 results
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
subluxation causing ulnar ... • MCP + PIP + Wrist ... Hemochromatosis • Wrist ... Polyarticular gout ... hand #diagnosis #rheumatology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
joints (shoulders, wrists ... atypical locations: Wrist ... • Metabolic syndrome ... knees, fingers, wrist ... #Comparison #rheumatology
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
metacarpophalangeal, and wrist ... deviate toward the ulnar ... Chronic Tophaceous Gout ... chronic tophaceous gout ... #Types #Rheumatology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
functional deficit and arthritis ... distal to distal ulna ... , pain with wrist ... distal radius or ulna ... Orthopedics #Sports #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
• Fracture • Arthritis ... • Gout/pseudogout ... • Arthritis ... Fever/chills - Inability ... lower #extremity #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... sex • Metabolic syndrome ... knees, fingers, wrist ... frequent attacks • Arthritis ... #treatment #rheumatology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
joints (shoulders, wrists ... often involves the wrists ... Crowned Dens Syndrome ... Deposition #Disease #Rheumatology ... #diagnosis #management
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
SAPHO syndrome is ... nonerosive inflammatory arthritis ... diagnosis • Rule out ... #Rheumatology # ... diagnosis #management
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome ... phenomenon (16%) MSK ... Arthralgia and Arthritis ... #Rheumatology # ... Diagnosis #Management