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diagnosis msk pain rheumatology approach workup calcium cppd deposition disease extremity leg lower management monoarthritis monoarticular oligoarthritis oligoarticular physicalexam polyarthritis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Chronicity: • Acute ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... Like in this case ... approach #workup #differential
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... : • Acute or chronic ... trauma (e.g., meniscal ... approach #workup #differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... the time course (acute ... MONOARTHRITIS • Acute ... Noninflammatory • Trauma ... Joint #pain #Differential
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Framework Bone/Joint ... pseudogout • Trauma ... Immobilization) • Acute ... #Leg #pain #differential
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
after surgery/trauma ... swelling in weird joints ... metacarpophalangeal joints ... MCP or shoulder joints ... Syndrome: • A rare
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