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joint differential gout management approach clinical cppd pocus workup ac acromioclavicular calcium comparison deposition disease monoarthritis monoarticular oligoarthritis oligoarticular polyarthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Diagnosis Framework ... Noninflammatory • Trauma ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint Pain ... History: Is the pain ... Previous joint trauma ... #MSK #rheumatology ... #differential #diagnosis
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... inflammatory) • joint pain ... nodules, joint effusions ... narrowing) • Ultrasound ... #rheumatology
MTP Gout Effusion on POCUS 50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... and great toe pain-MTP ... No trauma. ... without using ultrasound ... #MSK #Toe
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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 Pain ... - Diagnostic Framework ... neuropathy so trauma ... #Joint #Pain #MSK ... #rheumatology #
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
after surgery/trauma ... onset of swelling, pain ... locations: Wrist, MCP ... swelling, significant pain ... Gout #Comparison #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
left shoulder pain ... Diagnosis? ... #Effusion #POCUS ... #clinical #ultrasound ... #MSK
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 Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
after surgery/trauma ... onset of swelling, pain ... locations: Wrist, MCP ... with acute neck pain ... Deposition #Disease #Rheumatology
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
swelling, significant pain ... frequent attacks • Arthritis ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology
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