Rheumatological Urgencies

Rheumatological Urgencies
Presentation by: Rochella Ostrowski

Medical History
Physical Exam
DDX

* Crystal induced arthritis (Gout, pseudogout)
* Septic arthritis
X ray L foot
Arthrocentesis
Polarizing Microscopy
Synovial Fluid
Gout
Gout Treatment
Indications for Chronic therapy of Gout
Which diagnostic tests would you order next?
Septic Arthritis
Gonococcal vs Non-gonococcal
Organisms in Septic Arthritis
Mechanisms of Joint infection
Conditions That Predispose a Patient to Joint Infections
Septic Arthritis Therapy
Giant Cell Arteritis
GCA Clinical Findings
Treatment of GCA
Most reasonable diagnoses?

* Giant Cell Arteritis
* Rheumatoid arthritis
* Polymyositis
* Dermatomyositis
* Sjogren’s syndrome
* Ankylosing spondylitis
* Primary Raynaud’s
* Scleroderma
* Systemic lupus erythematosus

Scleroderma
Periungual Erythema
Nailfold Capillaroscopy
Scleroderma Diagnosis and Treatment
Scleroderma Renal Crisis
Manifestations of Scleroderma Renal Crisis
SRC Risk Factors
SRC Therapy
Diagnostic Tests

Rheumatological Urgencies.ppt