12 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
alterations (e.g ... derangements (e.g ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... assessment - Vital signs ... - CBC with differential ... Relevant drug levels (e.g ... rigidity) Consider EEG
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
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... not be subtle e.g ... very remarkable w/differential ... E.g. 80 yo ESR cutoff ... claudication: pain
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... - Infectious workup ... oral secretions (e.g ... monitoring (vital signs
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
than one cause (e.g ... carcinomatosis, HF, etc ... dullness, puddle sign ... incisional). 3) Signs ... Jcortesizaguirr #Ascites #workup
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... purpura: Strong sign ... vesicular eruption • Joints ... Palpable purpura, joint ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... vesicular eruption - Joints ... purpura: strong sign ... , testes -> pain ... #diagnosis #rheumatology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... Lack of UMN/LMN signs ... dystrophies Work ... electromyographic (EMG