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differential clinical joint approach flexor gout management orthopedics pain tenosynovitis vasculitis workup ac acromioclavicular algorithm bone causes classification comparison cppd
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... -60 minutes or longer ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... of hands/feet, knees ... narrowing) • Ultrasound ... corticosteroid injections ... #rheumatology
Flexor Tenosynovitis on POCUS Which of the following diagnoses does this clip best support? Resolution: flexor tenosynovitis (majority
Tenosynovitis on POCUS ... the following diagnoses ... around the flexor tendon ... #MSK #clinical ... #ultrasound #Finger
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 Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
to Joint Pain - Diagnostic ... warm, swollen, tender ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
- Differential Diagnosis ... Algorithm Infection ... Legg-Calve-Perthes Disease Knee ... Patella (e.g., Tendon ... Deformity #Limp #MSK
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
culture used to diagnose ... forefoot, ankles, knees ... , fingers, wrist ... Gout #Comparison #rheumatology ... #Diagnosis
Trigger Finger - Stenosing flexor tendon tenosynovitis There is a change in the slip between the tendon
The diagnosis is ... complemented with ultrasound ... Ultrasound can show ... tenosynovitis #msk ... #orthopedics #rheumatology
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
forefoot, ankles, knees ... frequent attacks • Arthritis ... elbows, Achilles tendon ... not possible • Ultrasound ... management #treatment #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
on POCUS IVDU ... Tender on top of ... Diagnosis? ... #clinical #ultrasound ... #MSK
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Vasculitis Differential Diagnosis ... diminished, or tender ... episcleritis as well as inner ... #Rheumatology
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