20 results
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, crystal disease ... #Joint #Pain #MSK ... rheumatology #approach #workup
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
• Underlying disease ... onset of swelling, pain ... Chronic CPP Crystal ... • Metabolic syndrome ... swelling, significant pain
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... have had prior evaluations ... did not yield a diagnosis ... • Budd-Chiari syndrome ... Irritable bowel syndrome
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Disease: • Pain ... disease must be ... : • Acute or chronic ... #approach #workup ... #differential #diagnosis
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Algorithm for the Evaluation ... of Chronic Diarrhea ... Systemic disease ... management #algorithm #workup ... #diagnosis #differential
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... Pain Rash ... Dermatomyositis Erythema chronicum ... Antiphospholipid-antibody syndrome ... #differential #diagnosis
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
a rare chronic ... lesions + Rheumatic pain ... Diagnosis: ... • A clinical diagnosis ... osteoarticular and skin disease
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
onset of swelling, pain ... Chronic CPP Crystal ... Resembles RA • Chronic ... Crowned Dens Syndrome ... with acute neck pain
Iliotibial Band Friction Syndrome - MSK Radiology
Imaging Findings:
 • The iliotibial band (ITB) is thickened with
Band Friction Syndrome ... anterolateral knee pain ... • Chronic inflammatory ... • Findings of chronic ... disease: -
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
thigh bones -> chronic ... prematurely • risk of joint ... nephrocalcinosis • CPPD ... Malnutrition • Wilson's disease ... (muscle/joint)