9 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... rheumatic fever ... • Chronic - Think ... • Acute = Viral ... #Joint #Pain #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
the time course (acute ... MONOARTHRITIS • Acute ... asymmetric pattern Acute ... Viral Infections ... #Diagnosis #MSK
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
renal failure Clinical ... Pulmonary: dyspnea ... sarcoidosis Pulmonary ... anterior/posterior MSK ... (pain/abnormal
Pneumonia on Point of Care Ultrasound (POCUS)

Haitian woman fever, cough & this clip => PNA &
Pneumonia on Point ... of Care Ultrasound ... woman fever, cough ... #Clinical #Lung ... #Pulmonary #Clinical
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... swelling, significant pain ... not possible • Ultrasound ... Dual-energy CT → MSU
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... X-rays= DJD, no acute ... POCUS revealed joint ... Gout #Effusion #Clinical ... #POCUS #ultrasound
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
presents with pain ... concerning for late/chronic ... Septic #Arthritis #clinical ... #POCUS #ultrasound ... #msk #radiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... muscle aches, joint ... pain, chest pain ... normal glucose level ... or chronic pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
breath and chest pain ... located chest pain ... Vital signs: BP ... This patient’s clinical ... exam findings and clinical