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differential rheumatology causes pain algorithm jointpain approach gout inflammatory management physicalexam workup ac acromioclavicular bone clinical cppd deformity degenerative dislocation
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Polyarticular Join ... rash) • Primary HIV ... #JointPain #MSK ... #Algorithm #Orthopedics
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... for cell count, culture ... - parvovirus, HIV ... #Joint #Pain #MSK ... #differential #diagnosis
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
• PIP joints are ... and PIP joints ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... #MSK
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Algorithm Infection ... Joint • Hip Dysplasia ... (e.g., Tendon Rupture ... Deformity #Limp #MSK ... #Algorithm #Orthopedics
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
- Differential Diagnosis ... Genitourinary Infection ... Inflammatory #JointPain #MSK ... #Differential #Diagnosis ... #Algorithm #Orthopedics
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Calcium oxalate Infectious ... Acute or chronic infections ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... spine, shoulders, hips ... Parvovirus B19 • HIV ... #Diagnosis #MSK
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... affects the knee hip ... #Degenerative #Comparison ... #Versus #MSK #JointDisease ... #JointPain #Diagnosis
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 ... Brucellosis - Viruses: HIV ... #differential #diagnosis ... #msk #physicalexam
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Leg Pain: • Infection ... entrapment • Infections ... Herpes zoster - HIV ... lower #extremity #msk
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