Etiology consideration for presenting complaints – Part: 4

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Rheumatology

Monoarthritis

1. Septic arthritis
2. Tubercular arthritis
3. Hemarthrosis
4. Gout
5. Pseudogout
6. Reactive arthritis
7. Psoriatic arthritis
8. Enteropathic arthritis
9. Spondyloarthritis
10. Gonococcal
11. Osteomyelitis
12. RA
13. JIA
14. FB, trauma
15. Leukaemia

Polyarthritis

1. Viral polyarthritis
2. Osteoarthritis
3. RA
4. Ankylosing spondyloarthritis
5. Axial SpA
6. Psoriatic arthritis
7. Enteropathic arthritis
8. SLE
9. JIA
10. Chronic gout
11. Pseudogout
12. Chronic sarcoidosis

Low Back Pain

InflammatoryNon-inflammatory
1. AS
2. Psoriatic
3. IBD
4. associated
5. Reactive
6. RA
1. Mechanical
2. PLID
3. Osteoporosis & vertebral #
4. multiple myeloma
5. Paget’s disease
6. Bony
metastasis(PUBLIKT)
(breast, lung, prostate,
kidney, liver intestine,
thyroid)

Neck pain

  • Mechanical – whiplash injury, cervical spondylosis
  • Inflammatory- RA, PMR, AxSPa, psoriatic arthritis, discitis
  • Others- neoplastic, metastatic, myeloma, lymphoma, fibromyalgia, angina, referred pain.

Proximal muscle pain or weakness

Inflammatory1. Dermatomyositis
2. Polymyositis
3. IBM
4. Sarcoid
5. Myasthenia gravis
6. Autoimmune CTD- SLE,
MCTD
Endocrine7. Hypothyroid
8. Hyperthyroid
9. Hyperparathyroid
10. Addison’s disease
11. Cushing’s syndrome
Metabolic12. Myophosphorylase deficiency
13. Phosphofructokinase deficiency
14. Carnitine deficiency
15. Hypokalemia
16. Hypercalcemia
17. Osteomalacia
Genetic18. Muscular dystrophies- DMD,
BMD, FSHD, LGMD
DrugsAlcohol opiate
Steroid beta blockers
Statin chloroquine
Fibrates ciclosporin
Zidovudine
Toxin19. OPC
20. Snake venom
21. Amphetamine, cocaine, heroin
Paraneoplastic22. Carcinomatous neuromyopathy
Infections23. Viral- HIV, EBV, CMV
24. Bacterial- TB, staph,
mycoplasma
25. Parasite- cysticercosis,
schistosomiasis
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