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management rheumatology algorithm cardiology causes msk jointpain orthopedics treatment arthritis checklist chronic ecg ekg electrocardiogram equivalents neurology pulmonary stemi syndrome
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
alterations (e.g ... derangements (e.g ... #approach #workup ... #differential # ... diagnosis #arthritis
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Pain - Differential ... Diagnosis Algorithm ... • Reactive (e.g ... Enteropathic (e.g ... Enteropathic (e.g
Vascular Joint Pain - Differential Diagnosis Algorithm - Constant Pain (Ischemia) - Acute Onset -
Vascular Joint Pain ... - Differential ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g
Chronic Joint Pain - Differential Diagnosis Algorithm Intra-Articular - Bone • Stress
Chronic Joint Pain ... - Differential ... Diagnosis Algorithm ... • Fascitis (e.g ... „ Myofascial Pain
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... accompanied by chest pain ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Back Pain - Differential Diagnosis Primary Back Pathology: • Musculoligamentous injury (a.k.a. lumbosacral strain) • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... (e.g. ankylosing ... spondyloarthritis (e.g ... #Differential #
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
lesions + Rheumatic pain ... thickening • Osteitis: pain ... , parts of the axial ... Diagnosis: ... antiinflammatory properties e.g
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Hyperparathyroidism • Facial ... disease, Vasculitis (e.g ... #pain #differential ... #diagnosis #rheumatology
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