43 results
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Juvenile idiopathic arthritis ... Pitting - Psoriatic arthritis ... , Gonococcal arthritis ... Inflammation of ear ... #joint #pain #differential
A necrotic ulceration was observed on the right side of the tongue. Cervicofacial computed tomography, performed
of giant-cell arteritis ... #clinical #photo ... GCA #GiantCell #Arteritis ... #tongue #NEJM
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
) - Differential ... process Temporal arteritis ... Cervical spine arthritis ... Cricoarytenoid arthritis ... the tragus to differentiate
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Behcet disease) Differential ... SLE, Reactive arthritis ... Giant retinal tears ... SLE, Reactive Arthritis ... Syndrome #diagnosis #management
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Giant cell arteritis ... very remarkable w/differential ... in literature (NEJM ... cases (Cornelia NEJM ... Symptoms #Diagnosis #Management
Treatment of giant cell arteritis (GCA)

1st Line Strategy - GC 0.7 mg/kg/day, except for:
 • Aortitis
of giant cell arteritis ... or SC for > 1 year ... weekly SC for > 1 year ... #giantcell #arteritis ... GCA #Treatment #Management
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... e.g., meniscal tears ... approach #workup #differential ... #diagnosis #arthritis
Diagnosis and management of Polyarteritis Nodosa (PAN)

Chapel Hill 2012 definition: 
Necrotizing vasculitis ofmedium or small arteries
Diagnosis and management ... ofmedium or small arteries ... Rheumatology #Diagnosis #Management ... #Vasculitis #Differential
A primer on the causes, evaluation and management of Acute Myocardial Infarction in Young Patients. 
Obstructive:
evaluation and management ... non-obstructive coronary arteries ... cardiology #MINOCA #differential
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Diagnosis: r/o septic arthritis ... 1) 2+ flares/year ... gout #diagnosis #management