11 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Diagnosis: r/o septic arthritis ... medications • Acute ... • Colchicine: Acute ... #diagnosis #management ... treatment #ULT #rheumatology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
resulting in an acute ... Acute CPP Crystal ... that leads to an acute ... Acute Intermittent ... Not helpful in acute
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Chronicity: • Acute ... infections (bacterial), acute ... • Acute = Viral ... Joint #Pain #MSK #rheumatology ... #approach #workup
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
that leads to an acute ... Presentation: • Acute ... birefringent • Acute ... Not helpful in acute ... insufficient evidence) • Acute
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... synovial fluid • Gout ... urate crystals (gout ... Screening Tests for Acute ... #laboratory #workup
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Acute Pancreatitis ... Imaging findings Workup ... Imaging: US (biliary evaluation ... Check out https: ... #Pancreatitis #Acute
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
resulting in an acute ... Acute CPP Crystal ... chondrocalcinosis Acute ... : Treatment • Acute ... glucocorticoids • Acute
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
Hospitalization - Pathophysiology ... our patient's out ... phlebotomy/ blood work ... during clinical evaluations ... blood loss or acute
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
Renal Crisis: 1) Acute ... anemia (MAHA) Pathophysiology ... of arteries Management ... diagnosis and rule out ... Renal #Crisis #rheumatology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Albumin > 4) Work-up ... first step in evaluation ... Viral infections (acute ... (RA, Temporal arteritis ... inflammation (acute