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diagnosis differential rheumatology approach classification comparison degenerative inflammatory joint jointdisease jointpain pathophysiology vasculitides vasculitis versus workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... both at rest and ... e.g., meniscal tears ... e.g., congenital hip ... #MSK #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... weight-bearing joints tend ... to bear the brunt ... affects the knee hip ... Comparison #Versus #MSK
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
well as inner ear ... diminished, or tender ... , testes -> pain ... retinopathy Lab Tests ... Cryoglobulins • HIV
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