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differential cardiology ecg electrocardiogram equivalents stemi approach arthritis autoimmune clinical flexor gout interpretation ischemia management myopathy myositis orthopedics pain physicalexam
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
-60 minutes or longer ... alterations (e.g ... derangements (e.g ... #Pain #MSK #rheumatology ... #differential #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... after) the J point ... • De Winter syndrome ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... infarct STEMI - J point ... asymmetrical, similar or bigger ... #Ischemia #ECG ... #EKG #diagnosis
Trigger Finger - Stenosing flexor tendon tenosynovitis There is a change in the slip between the tendon
Trigger Finger - ... The diagnosis is ... ortopediaesaude #Trigger ... 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
deposition in joints ... attacks • Other joints ... ankles, knees, fingers ... Achilles tendon, fingers ... management #treatment #rheumatology
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Aldolase levels • EMG ... RP-ILD), dermato-rheumatologic ... Syndrome: Fever, joint ... flexors, quadriceps, finger ... Myositis #Myopathy #rheumatology
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