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rheumatology management arthritis differential approach syndrome workup activation band causes clinical effusions friction gout iliotibial itband macrophage mas physicalexam polychondritis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... get bacterial seeding ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
of hands/feet, knees ... pain / swelling ... exam and imaging Treatment ... corticosteroid injections ... #management #rheumatology
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Fever/Chills/Joint ... pain/Night sweats ... - DDX: - Infection ... #msk #physicalexam
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
present both at rest ... improves quickly with rest ... Acute or chronic infections ... #Pain #MSK #rheumatology ... #differential #diagnosis
Iliotibial Band Friction Syndrome - MSK Radiology Imaging Findings: • The iliotibial band (ITB) is thickened with
Friction Syndrome - MSK ... pain with point ... • Treatment: Conservative ... image-guided steroid injection ... #msk #clinical
Macrophage Activation Syndrome (MAS) Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH) What? A subset of
• Fever is the main ... purpura to mucosal bleeding ... Liver function tests ... Treatment: • Corticosteroids ... Activation #Syndrome #Diagnosis
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... forefoot, ankles, knees ... swelling, significant pain ... #rheumatology
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
Sudden onset of pain ... ear • Skin • Joints ... Inflammation of joint ... : • Clinical tests ... affected tissue Treatment
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