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rheumatology joint approach causes clinical algorithm bone calculi calculus cardiology ekg electrocardiogram equivalents gout gouty hematology imaging inflammatory interpretation ischemia
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Symptoms of Joint Disease ... #MSK #rheumatology ... #approach #workup ... #differential # ... diagnosis #arthritis
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint Pain ... - Differential ... Diagnosis Algorithm ... Inflammatory #JointPain #MSK ... #Differential #
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... Differential diagnosis ... diffuse chondral disease ... #Radiology #diagnosis
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
in Sickle Cell Disease ... • XR, MRI to ... Osteomyelitis / Septic Arthritis ... #differential # ... diagnosis #causes
Osgood-Schlatter Disease - MSK Radiology Imaging Findings: • Infrapatellar fat-pad edema with loss of the patellar tendon
- MSK Radiology ... Tibial tuberosity pain ... • MRI is more sensitive ... tibial tuberosity Differential ... #diagnosis #msk
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
leads or 1 small box ... -4 can have no pain ... triple vessel disease ... #EKG #diagnosis ... Interpretation #differential
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint Pain ... #Joint #Pain #MSK ... rheumatology #approach #workup ... #differential # ... diagnosis #arthritis
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... titer, ACE level, CXR ... , and low back pain ... #laboratory #workup ... #diagnosis #testing
Imaging Modalities for Renal Calculus AXR. KUB - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... flank or abdominal pain ... disease CT-KUB ... Combination of above MRI ... stones #calculus #Radiology
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