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rheumatology arthritis msk pain workup approach cppd disease erythematosus lupus algorithm anemia causes comparison criteria deposition gout laboratory management monoarthritis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... rheumatic fever • Chronic ... = RA, SLE, psoriatic ... #rheumatology # ... approach #workup #differential
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Decreased WBCs - Decreased/NormaI
Diagnosis Algorithm ... RA, SLE, PRV, Chronic ... Normal RBCs • Acute ... Hypothyroid • Pregnancy ... #Causes #Hematology
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Arthritis: • Acute ... or chronic infections ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis Differential ... Diagnosis Framework ... arthritis • SLE ... #Diagnosis #MSK ... #rheumatology #
SLICC SLE Diagnostic Criteria - Systemic Lupus Erythematosus Clinical and Immunologic Criteria CLINICAL CRITERIA - ACUTE CUTANEOUS LUPUS
SLICC SLE Diagnostic ... CLINICAL CRITERIA - ACUTE ... CUTANEOUS LUPUS - CHRONIC ... INVOLVING 2 OR MORE JOINTS ... determined by Positive
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
crystals (gout) or calcium ... (ANA) test; if positive ... - Positive in ... Screening Tests for Acute ... Screening Tests for Chronic
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
precipitates with calcium ... Chronic CPP Crystal ... • Weakly positively ... Gout #Comparison #rheumatology ... #Diagnosis
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Classification: • Acute ... permanent alopecia Differential ... Arthritis: • Joint ... arthropathy • 90% joints ... with Lupus: • Chronic
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Chronic CPP Crystal ... Resembles RA • Chronic ... shaped • Weakly positively ... culture used to diagnose ... #diagnosis #management
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