20 results
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease

 - Acute CPPD precipitation into the joint space ->
crystals -> Acute pseudogout ... space -> Subacute polyarticular ... Chondrocalcinosis #Pseudogout
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Podagra, Tophi) • Pseudogout ... red Macules) POLYARTICULAR
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Crystals - “Pseudogout ... monoarticular #polyarticular
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
arthritis, gout or pseudogout ... Spondyloarthropathies, gout, pseudogout ... Polyarticular (5 ... Rhomboid, blue = pseudogout
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
induced (Gout/Pseudogout ... Lyme • Gout/Pseudogout ... Polyarthritis #Polyarticular
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pseudogout Summary ... chondrocalcinosis Acute Pseudogout ... glucocorticoids • Acute polyarticular ... #Pseudogout #CPPD
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
arthritis SLE, , RF , Pseudogout ... Table #Aspiration #Pseudogout
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
Table #Aspiration #Pseudogout
Systemic Lupus Erythematosus (SLE): Musculoskeletal Manifestations

 • Immune Complex Deposition
    - Arthralgia, Arthritis
, symmetrical, polyarticular
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
Table #Aspiration #Pseudogout