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diagnosis arthritis pain workup clinical mri signs systemic vasculitis autoimmune buckethandle causes classification erythematosus gait gout gouty lupus medial meniscus
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... or nerve root Symptoms ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
• Compensatory muscular ... Valgus position of knee ... pathophysiology #causes #symptoms ... #signs #diagnosis ... #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... Mechanical/degenerative disorders ... noninflammatory Signs ... constitutional symptoms ... #Diagnosis #MSK
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
elbows/wrists and knees ... and Symptoms: ... Musculoskeletal: joint ... myositis overlap • Vascular ... Scleroderma #SSc #rheumatology
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Radiology Imaging ... mass and NO prior signs ... Differential diagnosis ... mri #clinical #Radiology ... #rheumatology
Medial Meniscus Bucket Handle Tear - MSK Radiology Imaging Findings: • Truncation of the medial meniscus on
Handle Tear - MSK ... The "double PCL sign ... red zone of the vascular ... Differential diagnosis ... BucketHandle #Tear #knee
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Non-autoimmune rheumatologic ... Arthritis: • Joint ... arthropathy • 90% joints ... Induced Lupus: • Symptoms
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... pulse deficits vascular ... eruption • Joints ... • Progressive symptoms ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
and bullous or vesicular ... eruption - Joints ... Presentation - Systemic Symptoms ... purpura: strong sign ... #diagnosis #rheumatology
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