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diagnosis msk pain approach causes dermatology hematology algorithm autoimmune classification disease erythematosus gap globulin laboratory lupus management monoarthritis monoarticular myopathy
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
present both at rest ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
- parvovirus, HIV ... #rheumatology # ... approach #workup ... #differential # ... diagnosis #arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... spine, shoulders, hips ... Mechanical/degenerative disorders ... - Autoimmune Rheumatologic ... Joint #pain #Differential
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... : HIV test, a rubella ... metabolic or endocrine disorders ... #laboratory #workup ... diagnosis #testing #Rheumatology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
- Differential ... Diagnosis and Workup ... K), H. pylori test ... #Differential # ... #hematology
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
chronic inflammatory disorder ... Autoinflammatory disorder ... nonerosive inflammatory arthritis ... the best response ... SAPHO #Syndrome #Rheumatology
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Non-autoimmune rheumatologic ... : • Joint pain ... • Swan neck/Ulnar ... arthropathy • 90% joints
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Vasculitis - Collagen disorders ... deficiency Work ... Fecal occult blood test ... • Abdominal ultrasound
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential ... vesicular eruption - Joints ... retinopathy Lab Tests ... Cryoglobulins • HIV ... #diagnosis #rheumatology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
Albumin > 4) Work-up ... infections (acute HIV ... Connective tissue disorders ... (RA, Temporal arteritis ... Gap #ProteinGap #differential
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