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diagnosis rheumatology differential management approach cppd disease infectiousdiseases ac acromioclavicular clinical comparison deposition disseminated effusion fungal gonococcal gonorrhea gout infection
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
dihydrate • Basic calcium ... hydroxyapatite) • Calcium ... : • 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 ... Like in this case ... , you can also get ... #Joint #Pain #MSK ... rheumatology #approach #workup
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... axial (spine, shoulders ... Monoarthritis (>6 weeks) Can ... Joint #pain #Differential ... #Diagnosis #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
pain. ... Scan over AC joint ... arthritis rare. ... arthritis can be ... clinical #ultrasound #MSK
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 Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
blood cultures should ... suspected DGl who have an ... accessible joint ... typically part of the workup ... afebrile • Acute
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
(shoulders, wrists ... precipitates with calcium ... acute arthritic ... onset of swelling, pain ... Wrist, MCP, or shoulder
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
then deposit and can ... acute arthritic ... (shoulders, wrists ... onset of swelling, pain ... neck pain, fever
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... crystals (gout) or calcium ... ANAs RF test should ... Screening Tests for Acute ... , and low back pain
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 ... Palpable purpura, joint ... arterial aneurysms can
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
muscle aches, joint ... pain, chest pain ... disseminated) can ... SYSTEMIC CANDIDIASIS Can ... Meningitis, septic arthritis
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