13 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... : • Acute or chronic ... #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... axial (spine, shoulders ... Monoarthritis (>6 weeks) Can ... #Diagnosis #MSK
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
weird joints (shoulders ... precipitates with calcium ... then deposit and can ... acute arthritic ... onset of swelling, pain
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... Like in this case ... , you can also get ... #Joint #Pain #MSK
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
then deposit and can ... acute arthritic ... weird joints (shoulders ... onset of swelling, pain ... neck pain, fever
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
with severe left shoulder ... pain. ... Diagnosis? ... rare. ... clinical #ultrasound #MSK
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
crystals (gout) or calcium ... ANAs RF test should ... Screening Tests for Acute ... profile (e.g., calcium ... , and low back pain
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... fibrosis. 4) Calcium ... , cough, chest pain ... Extrapulmonary: ankle arthritis ... anterior/posterior MSK
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
acute onset of ... proximal muscle pain ... for giant cell arteritis ... normal and can ... the medication can
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
proximal muscles of shoulder ... Polyarteritis Nodosa: • PAN ... affects the skin, neurologic ... tract: Abdominal pain ... arterial aneurysms can