5 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Crystal Deposition ... : • 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 #
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 ... Monosodium urate deposition ... swelling, significant pain
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pyrophosphate Deposition ... after surgery/trauma ... Acute CPP Crystal ... onset of swelling, pain ... neck pain, fever
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
at home or at work ... ) - acute angle ... dissection: unilateral pain ... thrombophilia, neurologic ... Killers #Lethal #Fatal