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rheumatology arthritis pseudogout signs symptoms calcium chondrocalcinosis clinical comparison deposition differential gouty hand management mri msk patterns pyrophosphate radiology rheumatoidarthritis
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... joints (shoulders, wrists ... • Underlying disease ... states Pathophysiology ... : Resembles RA
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features • RA affects 1% of population, women >
Pathogenesis and Joint diseases ... • Rate of inflammatory ... Swelling notable on Xray ... Boutonniere's ulnar ... #pathophysiology
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
ON THE X-RAY! ... : • Inflammatory ... Arthritides (RA ... , CPPD) - Can have ... diffuse chondral disease
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
(CPPD) Pathophysiology ... joints (shoulders, wrists ... • Resembles RA ... culture used to diagnose ... #Rheumatology #diagnosis
Arthritis of the Hand - Arthritis Patterns Osteoarthritis: • Osteoarthritis of the hand usually involves the DIP and
nodes - DIP • XRAY ... subluxation causing ulnar ... = RA • 2nd & 3rd ... Polyarticular gout ... patterns #hand #diagnosis
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease - Acute CPPD precipitation into the joint space ->
joint space -> Inflammatory ... ) (tends to be out ... affected — e.g., wrist ... #Symptoms #Pathophysiology ... #Diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... claudication, visual ... purpura, joint & gut ... , Elevated AST ALT ... syndrome: Ocular inflammatory
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