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differential causes clinical injury orthopedics physicalexam video acl approach arthritis cauda caudaequina chronic cll cruciate deformity dislocation disseminated effusions equina
Lachman Test for ACL Injury The patient lies supine and with the knee in ~20-30 degrees of
supine and with the knee ... degrees of flexion, hip ... One hand supports ... #Cruciate #Ligament ... #physicalexam #msk
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 Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Infectious Knee ... - Aneurysmal bone ... #differential #diagnosis ... #msk #physicalexam
Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... typically part of the workup ... • Test all patients ... for HIV, Chlamydia ... Distal joints, knees
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Bone Deformity / ... Algorithm Infection ... Legg-Calve-Perthes Disease Knee ... Patellofemoral Syndrome ... Deformity #Limp #MSK
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Tendon • Ligament ... e.g., congenital hip ... #Joint #Pain #MSK ... rheumatology #approach #workup ... #differential #diagnosis
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
L5/S1 with an inferior ... Differential Diagnosis ... cord infarct • HIV ... • Provocative Tests ... absent anal wink test
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... Infection or cancer ... Normal: Air > bone ... hearing loss: Bone ... II ○ Susac’s syndrome
Chronic Lymphocytic Leukemia - Summary Cancer affecting lymphocytes/Mature B cell neoplasm • Lymphocytes accumulate in large numbers
adults in the west ... Agent Orange or Hep ... weeks without infection ... Warm AIHA • Bone ... #workup #oncology
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... • Additional tests ... for infection depending ... elderly pts), Bone ... #diagnosis
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
nerve injury (25%) TEST ... Check hip and ankle ... drawers, and special ligament ... WORK UP: obtain ... Posterior #Injury #msk
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