13 results
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Myositis and Myopathies ... Rheumatica • Pain ... pain and/or joint ... #differential #diagnosis ... #comparison #rheumatology
Myositis Ossificans in vastus intermedius on POCUS after trauma - Sagittal View

Young male with MMA injury
with increased pain ... scan performed-negative ... What is diagnosis ... #msk #clinical ... #ultrasound #Sagittal
Myositis Ossificans in vastus intermedius on POCUS after trauma - Transverse View

Young male with MMA injury
with increased pain ... scan performed-negative ... What is diagnosis ... #msk #clinical ... #ultrasound #transverse
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Arthritis • Gout ... Lyme disease Muscle ... Compartment syndrome • Myositis ... lower #extremity #msk ... #physicalexam
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... Crystal induced (Gout ... fever • Lyme • Gout ... aureus • Gram-negative ... #MSK #rheumatology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
onset of swelling, pain ... swelling, significant pain ... Needle-shaped, negatively ... #Comparison #rheumatology ... #Diagnosis
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
or without back pain ... bouts of HTN Diagnostic ... Diagnosis: • ... tested and if negative ... #diagnosis #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... swelling, significant pain ... Needle-shaped, negatively ... not possible • Ultrasound ... #treatment #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... synovial fluid • Gout ... ANAs; thus, a negative ... level to exclude myositis ... , and low back pain
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... Conjunctivitis, mucositis ... purpura, joint & gut ... involvement, abdominal pain ... #Rheumatology