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diagnosis management differential pain cppd gout signs symptoms approach comparison pseudogout syndrome workup bakerscyst calcium causes chondrocalcinosis clinical degenerative dermatology
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Disease: • Pain ... disease must be ... Crystal Deposition ... ochronosis and crystal deposition ... #Pain #MSK #rheumatology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
), RA, crystal disease ... Lyme), reactive arthritis ... Inflammatory, crystalline disease ... #Joint #Pain #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
disease Inflammatory ... Joint Disease ... in Rheumatoid arthritis ... Comparison #Versus #MSK ... JointPain #Diagnosis #pathophysiology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
- Autoimmune Rheumatologic ... Disease OLIGOARTHRITIS ... burgdorferi (Lyme disease ... #Diagnosis #MSK ... #rheumatology #
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... with joint-space ... diffuse chondral disease ... #rheumatology
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
of the Hip • Arthritis ... • Sacroiliac Joint ... Pain • Valgus position ... Trendelenburg #Gait #pathophysiology ... signs #diagnosis #msk
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease - Acute CPPD precipitation into the joint space ->
Dihydrate (CPPD) Deposition ... Disease - Acute ... polyarticular arthritis ... Pseudogout #CPPD #Disease ... Signs #Symptoms #Pathophysiology
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Framework Bone/Joint ... Legg-Calve-Perthes disease ... - HIV - Lyme disease ... Fever/chills - Inability ... lower #extremity #msk
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... • Underlying disease ... states Pathophysiology ... Monosodium urate deposition ... Gout #Comparison #rheumatology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pyrophosphate Deposition ... Pathophysiology ... Acute Pseudogout: Treatment ... Pyrophosphate #Deposition ... #Disease #Rheumatology
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