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diagnosis arthritis treatment approach clinical debridement differential fungal gout hematoma infection infections infectiousdiseases mycoses pain pji pocus prosthetic rheumatoid sjogrens
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... acute rheumatic fever ... OA *Always do arthrocentesis ... #Joint #Pain #MSK ... #rheumatology #
Suprapatellar Hematoma on POCUS Before knee arthrocentesis, be sure fluid is inside joint. Hypoechoic suprapatellar lesion, partly
arthrocentesis, ... fluid is inside joint ... Hematoma #POCUS #ultrasound ... #clinical #msk ... #knee
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 Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
involving small joints ... of hands/feet, knees ... narrowing) • Ultrasound ... Arthritis #diagnosis #management ... #rheumatology
Debridement and Management of Prosthetic Joint Infection (PJI) Duration of symptoms <3 weeks OR <30 days
Debridement and Management ... of Prosthetic Joint ... Staphylococci: 24wk for knees ... benefit > risk - Never ... PJI #Prosthetic #Joint
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
Diagnosis and Management ... forefoot, ankles, knees ... Uncertain diagnosis or arthrocentesis ... not possible • Ultrasound ... #treatment #rheumatology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Disease: • 10%-15% Pulmonary ... , INC risk PE, Pulmonary ... phenomenon (16%) MSK ... Sjogrens #Syndrome #Rheumatology ... #Diagnosis #Management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
symptoms • Rheumatologic ... muscle aches, joint ... Increased protein level ... normal glucose level ... Fungal #Diagnosis #Management
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