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joint pain history, References, PAIN, list of detailed Differential…

- - - - AUTOIMMUNE
        
        METABOLIC
        
        IATRAGENIC
        
        NEOPLASTIC
        
        CONGENITAL
        
        DEGENERATIVE
        
        1 more item...
        
        e.g scoliosis, bow leg,
        
        Benign
        
        • Osteochondroma
        • Osteoid osteoma
        • Chondroblastoma
        
        Malignant - 66% of adult tumours
        
        • Multiple Myeloma
        • Osteosarcoma
        • Chondrosarcoma
        • Ewing's Sarcoma
        
        history of prior surgery
        
        pathologic fracture
        low energy/no exercise/repeated use
        always check neurological and vascular status one joint below the injury
        
        Osteoporosis
        
        Secondary Osteoporosis
        
        1 more item...
        
        Primary Osteoporosis
        
        1 more item...
        
        Osteomalacia / Ricketts
        
        Diffuse Pain/Proximal Muscle Weakness
        • Vitamin D Deficiency
        • Mineralization Defect
        • Phosphate Deficiency
        
        Renal Osteodystrophy
        
        Secondary to Chronic Renal Failure
        
        Paget's Disease
        
        Skull/spine/Pelvis
        
        Positive Alkaline Phosphatase
        
        Inflammatory Joint Pain
        
        Monoarticular
        
        • Gout (Podagra, Tophi)
        • Pseudogout
        • Early Rheumatic Disease
        • Reactive (e.g. Genitourinary Infection
        
        Oligoarticular (1-4 joints)
        
        • Gout• Psoriatic (Nail Changes, Plaques)
        • Enteropathic (e.g. Inflammatory Bowel Disease)
        • Reactive
        • Rheumatic Fever (recent Pharyngitis, Carditis)
        Lyme Disease (Tick bite, Migratory red Macules)
        
        POLYARTICULAR (>4 joints)
        
        peripheral only
        
        Subacute & Symmetrical
        
        • Systemic Lupus Erythematosus
        • Granulomatosis with polyangiitis (GPA)/microscopic polyangiitis (MPA)
        • Polymyalgia Rheumatica
        • Henoch-Schonlein Purpura
        • Rheumatoid Arthritis
        • Sjögren's (a.k.a. Sicca) Syndrome
        • Scleroderma
        
        Insidious Monoarticular
        
        • Symmetric (Polymyositis/Dermatomyositis)
        • Asymmetric (Psoriatic Arthritis)
        
        Migratory
        
        • Rheumatic Fever
        
        peripheral and axial
        
        Acute Onset
        
        • Reactive
        
        Insidious Onset
        
        • Enteropathic (e.g. Inflammatory Bowel Disease)
        • Ankylosing Spondylitis
        • Psoriatic Arthritis
      - multiple injury site/ open fracture
    - - Polyarticular Joint Pain
        
        • Viral Myalgia/Arthritis
        
        Disseminated Gonoccocal Infection
        (Dermatitis, Migratory Arthralgia & Tenosynovitis)
        
        • Secondary Syphilis (Red/Copper Papules & Mucosal Lesions)
        
        Erythema Infectiousum & Symmetrical Rash
        Rubella (Measles- like rash
        • Primary HIV Infection
        • Endocarditis
      - Monoarticular
        
        Peri-Articular
        
        • Cellulitis
        • Necrotizing Fasciitis
        • Septic Bursitis
        • Abscess
        • Osteomyelitis
        • Lymphadenitis
        • Warts
        
        Articular
        
        Acute Onset
        
        • Septic Arthritis
        
        Insidious Onset
        
        • Fungal tuberculosis
        • Lyme Disease (Erythema Migrans
  - - - • Vasculitis
    - - • Sickle Cell Anemia Peripheral Vascular Disease Atherosclerosis • Deep Vein Thrombosis
      - • Septic Embolism (e.g. Infective Endocarditis)
        • Fat Embolism (e.g. fractured long bone)
        • Air Embolism
    - - • Trauma to Vessel (dislocation/fracture)
        • Hemarthrosis (Hemophilia or Trauma) • Peripheral/Mycotic Aneurysm (e.g. Marfan's Syndrome, Infective Endocarditis, Atherosclerosis
    - - • Any structure compressing the blood vessels
        • Abscess
        • Dislocated Bone
        • Cyst
        • Neoplasm