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differential management pain signs vasculitis abnormal approach arthritis atlas barre beaus classification diseases dislocation erythematosus extremity fingernails gbs gout guillain
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... visceral organ or nerve ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... #differential #diagnosis ... lower #extremity #msk ... #physicalexam
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Clinical Features ... Aseptic necrosis of hip ... Demyelinating syndromes ... signs #symptoms #diagnosis ... #rheumatology
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... zoster virus ○ HIV ... #Differential #Diagnosis
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... transplantation CLINICAL ... depressed deep tendon ... and sensitive tests ... Guillain #Barre #Syndrome
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
vesicular eruption - Joints ... diminished, or tender ... retinopathy Lab Tests ... Cryoglobulins • HIV ... #rheumatology #
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Common peroneal nerve ... injury (25%) TEST ... Check hip and ankle ... joints for associated ... Posterior #Injury #msk
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 Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... salivary ducts Clinical ... myelopathy, cranial nerve ... phenomenon (16%) MSK ... #Rheumatology #
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
diminished, or tender ... of shoulder and hip ... muscle weakness • Nerves ... Palpable purpura, joint ... #Rheumatology
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... sex • Metabolic syndrome ... include forefoot, ankles ... elbows, Achilles tendon ... management #treatment #rheumatology
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