10 results
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Rheumatoid Arthritis ... Involvement, Spares DIP, Carpal ... #Arthritis #RA ... #diagnosis #rheumatology ... #signs #symptoms
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... small joints (wrists ... boggy" joints, esp carpal ... Boutonniere's ulnar ... pathophysiology #signs #symptoms
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
or nerve root Symptoms ... both at rest and ... in persons with rheumatoid ... arthritis (RA) ... #MSK #rheumatology
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
osteophytes Rheumatoid ... Arthritis: • Rheumatoid ... subluxation causing ulnar ... = RA • 2nd & 3rd ... #diagnosis #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... constitutional symptoms ... - Autoimmune Rheumatologic ... Symmetrical: • RA
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... arthritis (RA) ... low back pain) ... features suggest RA ... diagnosis #testing #Rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... bacterial), acute rheumatic ... mycobacterial), RA ... #rheumatology #
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
onset of swelling, pain ... • Resembles RA ... joints ("pseudo-rheumatoid ... with acute neck pain ... Deposition #Disease #Rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
ANCA-associated vasculitis, rheumatoid ... Non-autoimmune rheumatologic ... : • Joint pain ... • Swan neck/Ulnar ... Induced Lupus: • Symptoms
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Diagnosis: Systemic rheumatic ... Presentation - Systemic Symptoms ... , testes -> pain ... retinopathy Lab Tests ... differential #diagnosis #rheumatology