23 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... : • Acute or chronic ... joint trauma (e.g ... derangements (e.g ... #workup #differential
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint Pain ... Pulmonary ... syndrome - SLE Neurologic ... , Vasculitis (e.g ... #differential #
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint Pain ... • Reactive (e.g ... Enteropathic (e.g ... Rheumatic Fever Acute ... Enteropathic (e.g
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... Systemic Diseases ... spondyloarthritis (e.g ... spondyloarthritis (e.g ... #primarycare #table
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Kidney Injury AKI - Differential ... vasoconstriction (e.g ... or drugs e.g. ... ) • Drugs (e.g ... #Diagnosis #nephrology
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... Pain (<72 hours ... ) - Differential ... : R/O cardiac, pulmonary ... (e.g., Diabetic
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Approach to Headaches ... symptoms and signs (e.g ... CNS infection (e.g ... ) • Temporal arteritis ... • Acute angle
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... Differential Diagnosis ... Gonococcal/Lyme etc ... Joint #pain #Differential
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue - Differential ... • Rheumatoid Arthritis ... Chronic Obstructive Pulmonary ... Disease Neurologic ... • Drug Abuse (e.g
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... women • DDx: Acute ... #Ischemia #ECG ... #EKG #diagnosis