7 results
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
noninflammatory Signs ... Crystal induced (Gout ... tuberculosis) • Fungi ... Differential #Diagnosis #MSK ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
forefoot, ankles, knees ... , fingers, wrist ... double contour sign ... +Radiographic signs ... management #treatment #rheumatology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
disease states Pathophysiology ... diagnose concomitant infection ... forefoot, ankles, knees ... , fingers, wrist ... #Comparison #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Ligament • Bone • Muscle ... -60 minutes or longer ... to bacterial, fungal ... #Joint #Pain #MSK ... #rheumatology #
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... muscle weakness ... purpura, joint & gut ... episcleritis as well as inner ... Differential #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
muscle weakness ... to exclude are infections ... purpura: strong sign ... Vessels: Supply gut ... differential #diagnosis #rheumatology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... fever, chills, muscle ... A. flavus, A. niger ... Aspergillosis Pathophysiology ... scalp, vagina, fingers