9 results
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Pain - Differential ... red Macules) POLYARTICULAR ... Systemic Lupus Erythematosus ... #JointPain #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Polyarticular (5 ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology # ... Polyarthritis #Polyarticular
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
differentiated: • Inflammatory ... and many other inflammatory ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology ... approach #workup #differential
Top 10 situations when to think about lupus
1) Inflammatory joint pain (especially in the wrists and
about lupus 1) Inflammatory ... joint pain (especially ... the face (many differential ... clues #system #erythematosus ... #rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
photosensitivity, inflammatory ... permanent alopecia Differential ... Arthritis: • Joint ... pain • Swan neck ... arthropathy • 90% joints
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
vesicular eruption - Joints ... - GI tract: abdominal ... Syndrome: - Ocular inflammatory ... Supply gut -> abdominal ... #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
claudication, visual ... ischemia • Skin: Erythematous ... pain and GN Anti-GBM ... syndrome: Ocular inflammatory ... #Diagnosis #Rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... leads to an acute inflammatory ... become persistent, polyarticular ... not possible • Ultrasound ... management #treatment #rheumatology