25 results
Systemic Lupus Erythematosus (SLE): Musculoskeletal Manifestations

 • Immune Complex Deposition
    - Arthralgia, Arthritis
- Myositis ... Weakness, Incr CK ... Myopathy (Also caused ... Erythematosus #SLE #MSK ... pathophysiology #signs #symptoms
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Autoimmune Myositis ... associated with higher CK ... greater level of muscle ... less systemic symptoms ... triad of ILD, myositis
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
Creatine Kinase - Causes ... of Elevated CK ... Subacute to Chronic Causes ... ): • PROXIMAL MUSCLE ... Inclusion body myositis
Statin Induced Muscle Toxicity - Summary

Clinical Presentation:
 • Elevations of serum creatine kinase with proximal myalgia
Symptoms (SAMS) ... symptoms: weeks ... • Myalgia • Myositis ... inclusion body myositis ... Diagnosis: • CK
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Fasciitis) - Muscle ... Delayed Onset Muscle ... Fibromyalgia • Myositis ... Intraarticular #MSK ... #Orthopedics #Causes
Myositis on POCUS
Which of the following is the best choice for management for this patient?
Resolution: steroids
Myositis on POCUS ... this patient with myositis ... #POCUS #clinical ... #ultrasound #MSK ... #Muscle
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Myositis Ossificans in vastus intermedius on POCUS after trauma - Sagittal View

Young male with MMA injury
intermedius on POCUS ... hypoechoic oval masses ... in muscle belly ... Ossificans #thigh #POCUS ... #muscle #msk #clinical
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Myositis Ossificans in vastus intermedius on POCUS after trauma - Transverse View

Young male with MMA injury
intermedius on POCUS ... hypoechoic oval masses ... in muscle belly ... Ossificans #thigh #POCUS ... #muscle #msk #clinical
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Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis ... Tests: • Measure CK ... (symmetric) • CK ... weakness • CK ... statins - probably caused
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... Tetanus, Transverse Myelitis ... aminoglycosides) • Muscles ... Neuromuscular #Weakness #Causes