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diagnosis joint approach differential pain workup ac acromioclavicular clinical dislocation effusion fungal gout hand infections infectiousdiseases interphalangeal ipjoint mycoses orthopedics
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
or volar plate rupture ... dislocation, due to rupture ... ) • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... • Inflammatory arthritis ... -60 minutes or longer ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
warm, swollen, tender ... Lyme), reactive arthritis ... for cell count, culture ... #Joint #Pain #MSK ... #rheumatology #
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
on POCUS IVDU ... Tender on top of ... Culture MRSA. ... #Effusion #POCUS ... clinical #ultrasound #MSK
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
Diagnosis and Management ... ankles, knees, fingers ... frequent attacks • Arthritis ... elbows, Achilles tendon ... #treatment #rheumatology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
system: small-fiber ... phenomenon (16%) MSK ... Arthralgia and Arthritis ... Sjogrens #Syndrome #Rheumatology ... #Diagnosis #Management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
pulmonary symptoms • Rheumatologic ... A. flavus, A. niger ... Meningitis, septic arthritis ... scalp, vagina, fingers ... Fungal #Diagnosis #Management
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