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differential rheumatology pathophysiology causes pain symptoms workup algorithm approach clinical jointpain orthopedics physicalexam pseudogout vasculitis analysis arthrocentesis aspiration autoimmune bakerscyst
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... trauma (e.g., meniscal ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
Joint Disease ... in Rheumatoid arthritis ... commonly affects the knee ... hip and L/C-spine ... Comparison #Versus #MSK
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Fever/Chills/Joint ... Ligamentous injuries - Meniscal ... #differential #diagnosis ... #msk #physicalexam
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
• Arthritis ... • Sacroiliac Joint ... Valgus position of knee ... causes #symptoms #signs ... #diagnosis #msk
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 ... ), RA, crystal disease ... - parvovirus, HIV ... #Joint #Pain #MSK
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features • RA affects 1% of population, women >
Rheumatoid arthritis ... diseases features ... esp carpal, MCP, PIP ... Extra-articular signs ... #symptoms #diagnosis
Synovial Fluid Analysis: Findings (COLOR TRANSPARENCY VISCOSITY WBC COUNT (PER MM3) PMN CELL COUNT (%) GRAM STAIN CULTURE PCR TEST CRYSTALS) By Condition (Normal Noninflammatory Inflammatory:
STAIN CULTURE PCR ... TEST CRYSTALS) ... nongonococcal ) #Diagnosis ... Arthrocentesis #Joint ... Septic #Infective #Arthritis
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 Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... - Differential Diagnosis ... Polyarticular Join ... rash) • Primary HIV ... Infectious #JointPain #MSK
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
- Differential Diagnosis ... Joint • Hip Dysplasia ... Knee Joint • ... Osgood-Schlatter Disease ... Deformity #Limp #MSK
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease - Acute CPPD precipitation into the joint space ->
precipitation into the joint ... (especially in knees ... precipitation into joint ... polyarticular arthritis ... #Signs #Symptoms
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