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differential gout pain workup approach clinical comparison cppd disease management vasculitis ac acromioclavicular algorithm antimda5 antimda5dm bone calcium causes classification
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... for cell count, culture ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... present both at rest ... improves quickly with rest ... #Pain #MSK #rheumatology ... #differential #diagnosis
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... • This case should ... Giant Cell Tumor Tendon ... #msk #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
with severe left shoulder ... Tender on top of ... Diagnosis? ... Culture MRSA. ... clinical #ultrasound #MSK
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 Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... in Rheumatoid arthritis ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... axial (spine, shoulders ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Gram stain and culture ... should be obtained ... (to support a diagnosis ... #testing #Rheumatology
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
- Differential Diagnosis ... • Rickets Hip Joint ... Patella (e.g., Tendon ... Rupture, Dislocation ... Deformity #Limp #MSK
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
(shoulders, wrists ... Wrist, MCP, or shoulder ... used to diagnose ... Gout #Comparison #rheumatology ... #Diagnosis
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
(shoulders, wrists ... Wrist, MCP or shoulder ... used to diagnose ... Deposition #Disease #Rheumatology ... #diagnosis #management
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