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rheumatology approach arthritis clinical differential disease gout hadd hydroxyapatite management mri pain perioperative preop preoperative risk stratification treatment workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... arthritides Crystal Deposition ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology Imaging Findings: • Ovoid hypointense structures along the bursal surface
Radiology Imaging ... - Limits evaluation ... specificity of tear ... low-signal normal tendon ... #diagnosis #msk
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... exam Determine Cardiac ... determine if stress test ... postoperative cardiac ... stratification #diagnosis
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
Monosodium urate deposition ... in joints and/or ... attacks • Other joints ... elbows, Achilles tendon ... not possible • Ultrasound
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