12 results
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
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Causes of Knee Effusions ... Framework Knee Effusion ... Infection - Systemic ... - SLE - Behcet ... #msk #physicalexam
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... 50%): Pleurisy / effusion ... of hip (rare), Arthritis ... #signs #symptoms ... #diagnosis #rheumatology
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 • Constitutional domain: Fever
 • Cutaneous domain: Non-scarring
Erythematosus Clinical ... cutaneous lupus • Arthritis ... domain: Pleural or pericardial ... effusion, Acute ... Erythematosus #diagnosis
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
What do you see ... effusion/pericardial ... with similar peri effusion ... Had diagnostic tap-fever ... Echocardiogram #clinical
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
suggested by warmth, effusion ... noninflammatory Signs ... non-activity, may have effusion ... the morning • Effusion ... #MSK #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Diagnosis? ... showed effusion ... glenohumeral joint effusion ... #Effusion #POCUS ... #MSK
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial ... effusion. ... expiration not meeting diagnostic ... Echocardiogram #a4c
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Regional wall motion, systolic ... effusion or expanding ... pericardial effusion ... poor prognostic signs ... #differential #diagnosis
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
SLE (Systemic Lupus ... ) Suspect: Clinical ... Differential Diagnosis ... Lungs: • Pleural effusions ... Serositis: • Pleural/pericardial
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... pulse pressure: systolic ... un lymphatic Diagnostic ... bilateral pleural effusions ... #heartfailure #diagnosis