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diagnosis msk rheumatology causes algorithm approach disease jointpain management calcium comparison dangerous deposition emergencies extremity fatal gout headache hematology inflammatory
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Ligament • Bone ... : • Acute or chronic ... trauma (e.g., meniscal ... #approach #workup ... #differential #
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... neuropathy so trauma ... #Joint #Pain #MSK ... rheumatology #approach #workup ... #differential #
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... Early dz difficult ... Osteomyelitis / Septic Arthritis ... #Joint #Pain #SickleCell
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
after surgery/trauma ... Acute CPP Crystal ... onset of swelling, pain ... shaped • Weakly ... swelling, significant pain
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Pain - Differential ... Pseudogout • Early ... Rheumatic Fever Acute ... JointPain #MSK #Differential ... Diagnosis #Algorithm #Orthopedics
Vascular Joint Pain - Differential Diagnosis Algorithm - Constant Pain (Ischemia) - Acute Onset -
Vascular Joint Pain ... - Differential ... (Ischemia) - Acute ... fractured long bone ... Diagnosis #Algorithm #Orthopedics
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
after surgery/trauma ... Acute CPP Crystal ... onset of swelling, pain ... Rhomboid shaped • Weakly ... neck pain, fever
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Diagnosis Framework Bone ... /Joint Causes of ... Immobilization) • Acute ... differential #diagnosis
13 Dangerous Causes of Headache: - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
at home or at work ... ) - acute angle ... thrombophilia, neurologic ... Fatal #Dangerous #Deadly ... #Differential
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
Orthopedic Emergencies ... pressure to the point ... event after long bone ... days after an acute ... H/O antecedent trauma
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