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diagnosis rheumatology differential joint pain approach comparison degenerative disease disseminated gonococcal gonorrhea infection infectiousdiseases inflammatory jointdisease jointpain laboratory management microbiology
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
present both at rest ... in persons with rheumatoid ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... should be obtained ... when rheumatoid ... : HIV test, a rubella ... #workup #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... axial (spine, shoulders ... , hips)? ... Gonorrhea • Rheumatic ... #Diagnosis #MSK
Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
blood cultures should ... the preferred test ... an accessible joint ... typically part of the workup ... for HIV, Chlamydia
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... (i.e. in Rheumatoid ... arthritis, Lupus ... affects the knee hip ... Comparison #Versus #MSK
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
bacterial), acute rheumatic ... Lyme), reactive arthritis ... - parvovirus, HIV ... #Joint #Pain #MSK ... rheumatology #approach #workup
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