17542269
Description
Mind Map by Alya Almualla, updated more than 1 year ago
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Created by Alya Almualla
over 5 years ago
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Roger’s Painful Toe
- Due to
- Gout
- Monoarthritis
- Differential Diagnosis
- Evaluation and clinical approach
- Septic Arthritis
- Causative agents
- Causative agents
- Pseudogout
- Chondrocalcinosis
- Deposition of calcium
pyrophosophate dihydrate crystals
- Calcium pyrophosophate
dihydrate disease "CPPD"
- Weakly positively birefringent (blue)
rhomboid-shaped crystals
- Large joints (KNEE or wrist)
/ Other joints
- Weakly positively birefringent (blue)
rhomboid-shaped crystals
- Calcium pyrophosophate
dihydrate disease "CPPD"
- Deposition of calcium
pyrophosophate dihydrate crystals
- Chondrocalcinosis
- Periarthritis
- Pain in the joint
- Calcium crystals deposited
- 1-4 weeks
- Hypercalcemic conditions
- Triggered by trauma
- Relieving pain / Self limited
- Confirmed by X-ray / US
- Pain in the joint
- Articular vs. Non-articular
- ROM
- Articular
- Pain on active and passive motion
- Pain on active and passive motion
- Non-articular
- Specific motion
- Specific motion
- Articular
- Tenderness
- Articular
- Surface circumference
- Surface circumference
- Non-articular
- Over bony prominence along tendons
- Over bony prominence along tendons
- Articular
- Pain
- Articular
- Generalized, deep or diffuse pain
- Generalized, deep or diffuse pain
- Non-articular
- Localized
- Localized
- Articular
- ROM
- Inflammatory vs. non-inflammatory
- Differential Diagnosis
- Hyperuricaemia
- Deposition of Monosodium
Urate Crystals
- Due to purine abnormality
- Purine Metabolism
- Purine degradation
- Purine Metabolism
- Negatively birefringent (yellow)
needle-shaped crystals
- First metatarsophalangeal
joint (BIG TOE) / Other joints
- Due to purine abnormality
- Deposition of Monosodium
Urate Crystals
- Stages
- Asymptomatic hyperuricemia
- No symptoms / Hyperuricaemia /
Crystals are forming in joint
- Before the first attack
- No symptoms / Hyperuricaemia /
Crystals are forming in joint
- Acute gout “Gout attack”
- Painful arthritic attack of sudden onset
- Damage starts
- Painful arthritic attack of sudden onset
- Interval gout
- Period between the attacks
- No pain, but a low level of inflammation
- Period between the attacks
- Chronic gout
- Frequencies increase + Chronic
hyperuricaemia
- Complications
- Joint damage and chronic pain
- Large subcutaneous tophi
- Deposition of urate crystals in kidney
- Kidney failure
- Kidney failure
- Destroyed articular cartilage
- Joint deformity and loss of mobility
- Joint deformity and loss of mobility
- Psychological and emotional problems
- Joint damage and chronic pain
- Complications
- Frequencies increase + Chronic
hyperuricaemia
- Asymptomatic hyperuricemia
- Causes and Risk Factors
- Age and gender
- Genetics
- Lifestyle choices
- Lead exposure
- Medications
- Thiazide diuretics
- Aspirin
- Thiazide diuretics
- Weight
- Recent trauma
or surgery
- Other health problems
- Renal insufficiency
- Renal insufficiency
- Age and gender
- Pathogenesis
- Investigations
- Blood test
- Joint fluid test (Arthrocentesis)
- Radiology
- X-ray
- US
- Dual energy CT scan
- X-ray
- Blood test
- Management
- Acute
- Chronic
- Acute
- Monoarthritis
- Gout
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