11 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 ... Like in this case ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... osteopetrosis, avascular ... #Pain #MSK #rheumatology ... #approach #workup
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Internal derangement/Avascular ... weeks) Can Be Caused ... - Autoimmune Rheumatologic ... Differential #Diagnosis #MSK ... #rheumatology #
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
et diutinum Neurologic ... Scleromyxedema (CNS+GI+CVS+joints ... Hypergammaglobulinemic macular ... (Thrombosis in vascular ... Paraproteinemias #Hematology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Disruptions in vascular ... deficiency Work ... blood test • Serology ... • Abdominal ultrasound
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
pulse deficits vascular ... eruption • Joints ... tract, and often causes ... Palpable purpura, joint ... Differential #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
tract, and often causes ... and bullous or vesicular ... eruption - Joints ... • Cogan Syndrome ... differential #diagnosis #rheumatology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... hip and ankle joints ... WORK UP: obtain ... Posterior #Injury #msk
Antiphospholipid Syndrome (APLS) Testing - Hypercoagulable Workup Algorithm
INDICATIONS FOR TESTING:
 • Vascular thrombosis
Antiphospholipid Syndrome ... Hypercoagulable Workup ... FOR TESTING: • Vascular ... maternal chromosomal causes ... Algorithm #diagnosis #hematology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... sex • Metabolic syndrome ... attacks • Other joints ... not possible • Ultrasound ... management #treatment #rheumatology