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rheumatology approach clinical differential ultrasound workup ac acromioclavicular comparison complete degenerative effusion gout inflammatory jointdisease jointpain management pathophysiology ruptured septic
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS) Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... #Tendon #Ruptured ... #Complete #Tear ... #MSK #Clinical
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 Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... Adjacent bursa • Tendon ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... for cell count, culture ... #Joint #Pain #MSK ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... in Rheumatoid arthritis ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
left shoulder pain ... Tender on top of ... Diagnosis? ... Culture MRSA. ... clinical #ultrasound #MSK
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... swelling, significant pain ... frequent attacks • Arthritis ... extensor elbows, Achilles ... tendon, fingers
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