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diagnosis approach clinical gout orthopedics pain radiology vasculitis workup ac acromioclavicular algorithm bone causes classification deformity dislocation effusion fungal gouty
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
hinge joint; ROM ... = hinge joint; ... ), mallet finger ... ) • ED Management ... #Orthopedics #MSK
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
warm, swollen, tender ... for cell count, culture ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
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 ... #Pain #MSK #rheumatology ... approach #workup #differential
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... Differential diagnosis ... Giant Cell Tumor Tendon ... #rheumatology
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
• Rickets Hip Joint ... Patella (e.g., Tendon ... Rupture, Dislocation ... Deformity #Limp #MSK ... #Differential #
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 ... deposition in joints ... frequent attacks • Arthritis ... elbows, Achilles tendon ... #treatment #rheumatology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... diminished, or tender ... vesicular eruption • Joints ... Palpable purpura, joint ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... vesicular eruption - Joints ... episcleritis as well as inner ... diminished, or tender ... #diagnosis #rheumatology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
pulmonary symptoms • Rheumatologic ... muscle aches, joint ... Meningitis, septic arthritis ... scalp, vagina, fingers ... Fungal #Diagnosis #Management
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