34 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
spondyloarthropathies, lupus ... get bacterial seeding ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
- Differential Diagnosis ... within 1 month of infection ... with Systemic Lupus ... #Disorders #msk ... #Differential #
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... lesions • Discoid lupus ... #joint #pain #skin ... #rashes #differential ... #diagnosis #rheumatology
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... Genitourinary Infection ... • Systemic Lupus ... Inflammatory #JointPain #MSK ... #Differential #
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Bacterial or viral infection ... Heberden's nodes (DIP joints ... #pain #differential ... #diagnosis #rheumatology
Causes of Diffuse Lymphadenopathy - Differential Diagnosis Algorithm
Reactive:
 - Systemic Inflammatory
     •
• Systemic Lupus ... • Rheumatoid Arthritis ... Leukemia - History of Bleeding ... , Infection, Fatigue ... Algorithm #Causes #Hematology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... Acute or chronic infections ... #Pain #MSK #rheumatology ... approach #workup #differential
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
with temporal arteritis ... Anti-retrovirals, Gemcitabine Lupus ... uncommon 5-15% of lupus ... Myopathies #myopathy #differential ... diagnosis #comparison #rheumatology
Ankle Joint Injection

Dr. Janet Pope @Janetbirdope

#Ankle #Joint #Injection #clinical #video #rheumatology #procedure #msk
Ankle Joint Injection ... Janetbirdope #Ankle #Joint ... #Injection #clinical ... #video #rheumatology ... #procedure #msk
Knee Joint Injection

Dr. Janet Pope @Janetbirdope

#Knee #Joint #Injection #clinical #video #rheumatology #procedure #msk
Knee Joint Injection ... Janetbirdope #Knee #Joint ... #Injection #clinical ... #video #rheumatology ... #procedure #msk