11 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
alterations (e.g ... #Pain #MSK #rheumatology ... #approach #workup ... #differential # ... diagnosis #arthritis
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... • Reactive (e.g ... Enteropathic (e.g ... Enteropathic (e.g ... Inflammatory #JointPain #MSK
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g ... Vascular #JointPain #MSK
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... - Differential ... Diagnosis Algorithm ... • Fascitis (e.g ... Intraarticular #MSK
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Wilson's disease Pulmonary ... disease, Vasculitis (e.g ... #pain #differential ... #diagnosis #rheumatology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... coagulopathy) • CBC w differential ... o infection • Echocardiogram ... recent DAN) • EMG ... Renal #Syndromes #differential
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... (e.g. incidental ... Pulmonary: dyspnea ... acute sarcoidosis Pulmonary ... anterior/posterior MSK
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... Symptoms: • Chest pain ... /Afib/WPW) • Loss