8 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Non-bloody: OA, avascular ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... mass and NO prior signs ... Differential diagnosis ... mri #clinical #Radiology ... #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... 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 ... Musculoskeletal: joint ... myositis overlap • Vascular ... Scleroderma #SSc #rheumatology ... #workup
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
or nerve root Symptoms ... osteopetrosis, avascular ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
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
 •
eruption - Joints ... Presentation - Systemic Symptoms ... purpura: strong sign ... Vessels: Supply gut ... #diagnosis #rheumatology
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
• Hypertensive disorders ... normal pregnancy symptoms ... events • Key Point ... Relaxin: reduces vascular ... , selenium) Differential