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diagnosis arthritis differential approach arthrocentesis comparison cppd effusions interpretation knee laboratory management monoarthritis monoarticular oligoarthritis oligoarticular polyarthritis polyarticular rheumatic rheumatoid
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... ), RA, crystal disease ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
: • MSU: Gout ... blood/synovial fluid ... membrane histo-anthology ... diagnosis #septic #joint ... #fluid #analysis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
, erythema and WBC ... 2000 in synovial fluid ... effusion with few WBCs ... #Diagnosis #MSK ... #rheumatology #
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Disease: • Pain ... disease must be ... Enthesitis: • Site of pathology ... #Pain #MSK #rheumatology ... #approach #workup
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
• Underlying disease ... : • WBCs >2000 ... : Synovial Fluid ... Testing: • WBCs ... #Comparison #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... • Gout or pseudogout ... drop of synovial fluid ... urate crystals (gout ... , and low back pain
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
swelling, significant pain ... fingers Synovial Fluid ... Testing: • WBCs ... not possible • Ultrasound ... management #treatment #rheumatology
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