617 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Approach to Joint ... 3) Number of Joints ... Number of Joints ... ): • Septic joint ... Polyarticular (5
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease

 - Acute CPPD precipitation into the joint space ->
precipitation into the joint ... precipitation into joint ... space -> Subacute polyarticular ... selected MCP/PIP joints ... exuberant, often in joints
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Diagnosis Algorithm Polyarticular ... Join Pain • Viral
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... the PIP and MCP joints ... but not the DIP joints ... 5% of times Joint ... Sickle cell anemia, Polyarticular
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Oligoarticular (1-4 joints ... red Macules) POLYARTICULAR ... (>4 joints) Subacute
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... Lumbar Spine and SI Joints ... @AmyChung #Joint ... monoarticular #polyarticular
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... • How many joints ... OLIGOARTHRITIS • 2-4 joints ... #Arthritis #Joint ... Polyarthritis #Polyarticular
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Pathogenesis and Joint ... poly-articular joint ... affecting the small joints ... Joint involvement ... space decr joint
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... become persistent, polyarticular
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
swelling in weird joints ... metacarpophalangeal joints ... MCP or shoulder joints ... glucocorticoids • Acute polyarticular