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Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... • WBC <2k: Noninflammatory ... lower limbs) • WBC ... spondyloarthropathies • WBC ... presentation with lower WBC
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features • RA affects 1% of population, women >
Pathogenesis and Joint ... poly-articular joint ... affecting the small joints ... Joint involvement ... space decr joint
Rheumatoid Arthritis - 2020 ACR-EULAR Classification ≥ 6 of 10 points = definite RA Joint Involvement:
= definite RA Joint ... 2-10 large joints ... , +/- large joints ... points >10 joints ... least 1 small joint
Phalanges - Hand Anatomy Joints between phalanges are named interphalangeal meaning “between phalanges.” Because each finger has
Hand Anatomy Joints ... interphalangeal joints ... interphalangeal) joint ... interphalangeal) joint
Common Forms of Arthritis in the Hands Acute Rheumatoid Arthritis Tender, painful, stiff joints in rheumatoid arthritis,
painful, stiff joints ... interphalangeal joints ... interphalangeal joints ... (Degenerative Joint ... Joint involvement
Kocher Criteria to Determine Risk for Pediatric Septic Joint - Non-weight bearing on affected side
Pediatric Septic Joint ... - Fever - WBC ... Criteria #Septic #Joint
Reactive Arthritis • Inflammation of joints (commonly large joints) - Asymmetric Oligoarthritis: Joint
Inflammation of joints ... commonly large joints ... Oligoarthritis: Joint ... pain in a few joints ... ) - Large Joint
Rheumatoid arthritis (RA): X-ray features • Soft tissue swelling (best seen by comparing left & right
together) • Joint ... closer to the joints ... ) • Joint Subluxations ... (Joint deformities
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Interphalangeal Joint ... Interphalangeal joint ... • PIP joints are ... hinge joint; ROM ... = hinge joint;
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... Swelling stimulates joint ... • Moving the joint ... Degenerative Joint
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