Flashcards in joint pain Deck (15):
ddx joint pain
Rheumatoid arthritis, osteoarthritis, meniscal tear (med/lat), tendonitis, (use-->)osteosarcoma, lupus, gout, bursitis, rheumatic fever (GAS), hip fracture, synovitis, septic arthritis (staph, gonorrhea), cong. hip dysplasia, slipped capital femoral, Paget's disease, capsulitis, psoriasis, fibromylagias, med side effect
80 yo obese man, chronic B/L knee pain 2 yrs duration
55 yo woman 6 mod pain in hands, worse in morning (stiffness) "shakes it out after coffee"
autoimmune, dec. saliva production, joint pain
knees, hips, hands/wrists, elbows, shoulders, TMJ, spine, feet/ankles
most joints are
-freely moving articulations, enclosed by fibrous capsule, membranes secrete serous lubricating synovial fluid
important questions for joint pain
Articular or extra-articular?
Single joint or multiple joints?
Joints inflamed or not?
differences between rheumatoid and osteo
RA/OA: lab findings
RA: elevated ESR and CRP
triad: "can't pee, can't see, can't bend my knee"
gout vs pseudogout
know observed diffs
analyze synovial fluid for
Gs, Cx, sens
crystal ID by polarized microscopy (gout)
ulnar deviation, subluxation of MCP, swan neck, Boutonniere deformity