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differential msk rheumatology abdominal arthritis clinical gastroenterology management radiology adhesivecapsulitis approach b12 bariatric bypass chronic cobalamin complications contusion ctchest deficiency
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... destruction lower ... presentation with lower ... Like in this case ... #Joint #Pain #MSK
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... Bone/Joint Causes ... • Bursitis • IBD ... #lower #extremity ... #msk #physicalexam
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Family history of IBD ... • Lower quadrant ... AMI • PUD • Gastric ... Lymphoma/Leukemia Lower ... Diverticulitis • IBD
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
chronic inflammatory disorder ... Autoinflammatory disorder ... lesions + Rheumatic pain ... joints Diagnosis ... Rule out other causes
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... Mechanical/degenerative disorders ... weeks) Can Be Caused ... Ankylosing Spondylitis, IBD ... #Diagnosis #MSK
Rare Causes of Abdominal Pain • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... associated with mild gastric ... purpura of the lower ... accompanied by joint ... #differential #diagnosis
Adhesive Capsulitis (Frozen Shoulder) - Pathogenesis and Clinical Findings • Primary (Idiopathic): Unknown etiology, but associated
with autoimmune disorders ... a stroke that caused ... Decr Shoulder pain ... pathophysiology #diagnosis ... stages #staging #msk
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... dysfunction, and/or disorders ... GI - glossitis (pain ... pain, diarrhea ... related to IBD,
Dilated Fluid-filled Stomach on Gastric POCUS Abd pain+vomiting+peritonitis -> Massively dilated stomach on #POCUS. NG tube placed
Fluid-filled Stomach on Gastric ... POCUS Abd pain ... aspiration pna in the lower ... Do a diagnostic/ ... @eabramsMD #Gastric
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 Focal Periphyseal Edema (FOPE lesion) - MSK Radiology Imaging Findings: • Arrows identifying the characteristic edema-like signal
FOPE lesion) - MSK ... adolescent knee pain ... Some studies point ... toward lower physical ... #msk
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