10 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Crystal Deposition ... : • Acute or chronic ... ochronosis and crystal deposition ... #MSK #rheumatology ... #approach #workup
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
and Management Summary ... hot, swollen, pain ... necrosis, Lyme disease ... Workup: arthrocentesis ... count, and crystal evaluation
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... ), 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 ... Monosodium urate deposition ... swelling, significant pain ... Gout #Comparison #rheumatology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pseudogout Summary ... Pyrophosphate Deposition ... onset of swelling, pain ... neck pain, fever ... #Disease #Rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Screening Tests for Acute ... profile, including liver ... , and low back pain ... #laboratory #workup
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management Summary ... Monosodium urate deposition ... swelling, significant pain ... frequent attacks • Arthritis ... management #treatment #rheumatology
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Transfusions One Pager Summary ... - Acute Hemolytic ... : Fever, flank pain ... eruptions, diarrhea, liver ... diagnosis #management #hematology
Anemia of Hospitalization - Pathophysiology

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

Interestingly,
phlebotomy/ blood work ... during clinical evaluations ... blood loss or acute ... deficiencies • Renal, liver ... Anemia of renal disease
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

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