9 results
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 ... #MSK #rheumatology ... #approach #workup
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
axial (spine, shoulders ... Monoarthritis (>6 weeks) Can ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
weird joints (shoulders ... precipitates with calcium ... acute arthritic ... onset of swelling, pain ... Gout #Comparison #rheumatology
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 ... neck pain, fever ... Deposition #Disease #Rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... , you can also get ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
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
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
acute onset of ... proximal muscle pain ... motion in the shoulders ... for giant cell arteritis ... Diagnosis #Management #Rheumatology
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 ... arterial aneurysms can ... Differential #Diagnosis #Rheumatology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... muscle aches, joint pain ... , chest pain • ... disseminated) can ... Meningitis, septic arthritis