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differential rheumatology approach pain workup algorithm bone causes classification comparison deformity degenerative inflammatory jointdisease jointpain limp orthopedics pathophysiology vasculitides vasculitis
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 ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
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 ... - parvovirus, HIV ... #Joint #Pain #MSK ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... tend to bear the ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
- Differential Diagnosis ... Joint • Hip Dysplasia ... Disease Knee Joint ... Patella (e.g., Tendon ... Deformity #Limp #MSK
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... vesicular eruption - Joints ... diminished, or tender ... retinopathy Lab Tests ... Cryoglobulins • HIV
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