Discover and read the best of Twitter Threads about #polyarthritis
Most recents (3)
Doctor: Where is the pain?
Patient: Pain pain everywhere!
❔How do we approach a patient with multiple joint pains❔
(1/12)
#polyarthritis #MedTwitter #MedEd #RheumTwitter
Patient: Pain pain everywhere!
❔How do we approach a patient with multiple joint pains❔
(1/12)
#polyarthritis #MedTwitter #MedEd #RheumTwitter
1️⃣ Is it polyarthritis?
First, you want to make sure it's polyarthritis - multiple (>4 joints) pain WITH SWELLING
& NOT 🚫
🔹Polyarthralgia⏩ pain WITHOUT swelling
🔹Widespread pain
🔹Myalgia
🔹Bone pain
🔹Neuropathic pain
Let's deal with polyarthritis ⏬
(2/12)
First, you want to make sure it's polyarthritis - multiple (>4 joints) pain WITH SWELLING
& NOT 🚫
🔹Polyarthralgia⏩ pain WITHOUT swelling
🔹Widespread pain
🔹Myalgia
🔹Bone pain
🔹Neuropathic pain
Let's deal with polyarthritis ⏬
(2/12)
2️⃣ Is it acute or chronic??
Acute<6 weeks
🔹 Infections- gonococcal, infective endocarditis, rheumatic fever, lyme disease, viral
🔹Elderly RA, ANCA vasculitis, paraneoplastic
(3/12)
#MedTwitter
Acute<6 weeks
🔹 Infections- gonococcal, infective endocarditis, rheumatic fever, lyme disease, viral
🔹Elderly RA, ANCA vasculitis, paraneoplastic
(3/12)
#MedTwitter
Really pleased to share the results of the #LongCovid study I was part of with the Perspectum team out of Oxford University. Using a specialist new technology this focused on assessing multiple organ damage in 'first wave' patients, infected with #COVID in early 2020 or even 2019
We were given in-depth haemotological tests, respiratory assessments and most importantly whole organ scans using the new 'MRI' type enhanced scanning equipment. My first test showed #myocarditis, three liver #lesions, reduced #kidney function and multiple organ inflammation
Also in the first year I experienced #TIA, #atrialfibrillation, #septic bursitis, pre-diabetic symptoms, complete loss of taste & smell; hair loss; #polyarthritis joints, abdominal and bone pain plus multiple #infections and skin eruptions Some neuralgia, headaches and brain fog
1/ A 46-year-old man with a history of #malaria presented to the @JohnsHopkinsDOM on 8/12/1923 with
-- 3 years of generalized arthralgia
-- intermittent joint swelling
-- 40 lbs weight loss
@CPSolvers @DxRxEdu #medtwitter #MedEd
-- 3 years of generalized arthralgia
-- intermittent joint swelling
-- 40 lbs weight loss
@CPSolvers @DxRxEdu #medtwitter #MedEd
2/ Exam
-- synovitis of the 2nd and 3rd MCPs
-- diffuse joint tenderness
-- lymphadenopathy
-- pyorrhea alveolaris* of the few remaining teeth.
What do you want to do next? What's your #DDX?
Remember: Sir William Osler died in 1919, so it's all you...
-- synovitis of the 2nd and 3rd MCPs
-- diffuse joint tenderness
-- lymphadenopathy
-- pyorrhea alveolaris* of the few remaining teeth.
What do you want to do next? What's your #DDX?
Remember: Sir William Osler died in 1919, so it's all you...
So far, we have #tuberculosis on the differential. “Consumption” or “#phthisis”, wasting away, as #Tb was often referred to, certainly could explain this patients weight loss and adenopathy.
But does it explain the rest?
But does it explain the rest?
