14 results
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
hot, swollen, pain ... necrosis, Lyme disease ... Workup: arthrocentesis ... count, and crystal evaluation ... until proven otherwise
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Symptoms of Joint Disease ... categories of joint disease ... : • Acute or chronic ... #MSK #rheumatology ... #approach #workup
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
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 ... swelling, significant pain ... • ↑ C-reactive protein ... Gout #Comparison #rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Classification: • Acute ... Pleural effusions • Acute ... : • Joint pain ... pancreatitis, protein-losing ... vein thrombosis Hematologic
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
and Management Summary ... presents with an acute ... proximal muscle pain ... for giant cell arteritis ... and C-reactive protein
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
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pseudogout Summary ... Pyrophosphate Deposition Disease ... onset of swelling, pain ... neck pain, fever ... #Rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management Summary ... swelling, significant pain ... frequent attacks • Arthritis ... • ↑ C-reactive protein ... management #treatment #rheumatology