20 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
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... #EKG #Electrocardiogram
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... SSRIs) Severe pain ... #Diagnosis #Table
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... widened QRS and QTc ... #AVR #leadAVR #ecg ... #diagnosis #ekg
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
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 ... #electrocardiogram
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
lesions + Rheumatic pain ... thickening • Osteitis: pain ... Diagnosis: ... antiinflammatory properties e.g ... Tetracyclines etc
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
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Diagnosis The ... than one cause (e.g ... carcinomatosis, HF, etc ... Jcortesizaguirr #Ascites #workup ... Diagnosis #hepatology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... notch at the J point ... QRS complex Pulmonary ... #ecg #ekg #electrocardiogram