11 results
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 ... #rheumatology # ... approach #workup
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... : • Acute or chronic ... #Pain #MSK #rheumatology ... #approach #workup
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... ideally limit for acute ... #Rheumatoid #Arthritis ... #diagnosis #management ... #rheumatology
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Diagnosis and Management ... an accessible joint ... typically part of the workup ... Painless) Purulent Arthritis ... afebrile • Acute
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
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
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... of the affected joint ... Screening Tests for Acute ... #laboratory #workup ... diagnosis #testing #Rheumatology
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
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... to 12 weeks for acute ... muscle aches, joint ... Chronic, subacute to acute ... Coccidioidomycosis Symptoms: • Acute
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
Diagnosis and Management ... presents with an acute ... • An evaluation ... for giant cell arteritis ... #Rheumatology