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diagnosis rheumatology management differential msk approach cppd dermatology gout rheumatoid syndrome blood calcium causes comparison deposition effusions erythematosus fungal gap
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 ... #Pain #MSK #rheumatology ... #approach #workup
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... ), RA, crystal disease ... #Joint #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 ... Summary Overview ... pain / swelling ... ideally limit for acute ... #Rheumatoid #Arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... the time course (acute ... MONOARTHRITIS • Acute ... Joint #pain #Differential ... Diagnosis #MSK #rheumatology
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
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Fever/Chills/Joint ... pain/Night sweats ... Reactive Syndrome - Acute ... Effusions: - Hematologic ... Osteochondroma Hematologic
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
SAPHO Syndrome Summary ... lesions + Rheumatic pain ... nonerosive inflammatory arthritis ... thickening • Osteitis: pain ... osteoarticular and skin disease
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
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
• Underlying disease ... arthritic flare ... onset of swelling, pain ... swelling, significant pain ... Gout #Comparison #rheumatology
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Classification: • Acute ... Malignancy (e.g. hematologic ... Pleural effusions • Acute ... : • Joint pain ... arthropathy • 90% joints
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