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diagnosis differential rheumatology causes clinical joint ultrasound algorithm inflammatory orthopedics physicalexam abscess ankle approach bakers cppd cyst degenerative effusion effusions
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Fever/Chills/Joint ... pain/Night sweats ... - Pseudo gout ... Reactive Syndrome - Acute ... differential #diagnosis #msk
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint ... Pain - Differential ... Rheumatic Fever Acute ... #Inflammatory #JointPain ... #MSK #Differential
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Articular - Acute ... #Infectious #JointPain ... #MSK #Differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... fever • Lyme • Gout ... Gram-negative bacilli ... Joint #pain #Differential ... #Diagnosis #MSK
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... commonly affects the knee ... #Degenerative #Comparison ... #Versus #MSK #JointDisease ... #JointPain #Diagnosis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... Chronicity: • Acute ... , gout or pseudogout ... • Acute = Viral ... #Joint #Pain #MSK
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
arthritic flare ... onset of swelling, pain ... forefoot, ankles, knees ... swelling, significant pain ... #Comparison #rheumatology
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
• Fracture • Arthritis ... • Gout/pseudogout ... syndrome • Arthritis ... Immobilization) • Acute ... lower #extremity #msk
Baker's Cyst on POCUS 63yo w p/w pain and swelling behind knee. Probe on knee
Baker's Cyst on POCUS ... 63yo w p/w pain ... , and bam - POCUS ... dx) that pops out ... #clinical #msk
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
forefoot, ankles, knees ... swelling, significant pain ... frequent attacks • Arthritis ... Dual-energy CT → MSU ... deposits • Plain
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