8 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
the morning or after ... e.g., meniscal tears ... slipped capital femoral ... approach #workup #differential ... #diagnosis #arthritis
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
Ear Pain (Otalgia ... Diagnosis Framework ... placement, carotid artery ... cervical spine #Earpain ... diagnosis
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
(giant cell) arteritis ... dissection: unilateral pain ... postpartum #Diagnosis ... Fatal #Dangerous #Deadly ... #Differential
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... and Superficial temporal ... artery • Age > ... disturbance • Temp. artery
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... Diagnosis Framework ... and Superficial temporal ... artery - Age ... well as inner ear
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
History of sinus or ear ... immunization Temporal ... arteritis - Age ... signs #symptoms #differential ... #emergency #diagnosis
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
Pyelonephritis on POCUS ... with right flank pain ... Diagnosis/differential ... Also had early perinephric ... Underwent nephrectomy after
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
proximal muscle pain ... for giant cell arteritis ... normal and can help differentiate ... • Obtain a temporal ... artery biopsy only