13 results
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Diagnosis Framework ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... zoster virus ○ HIV ... #Differential #Diagnosis
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... (75%), Weight loss ... Aseptic necrosis of hip ... Demyelinating syndromes ... #rheumatology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... pulses - Hair loss ... lower #extremity #msk ... #physicalexam
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 ... #Joint #Pain #MSK ... #rheumatology #
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
fatiguable chewing, loss ... Brain stem/Cranial nerve ... Bedside: ice pack test ... /Edrophonium test ... - Repetitive nerve
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
 •
Anorexia • Weight loss ... diminished, or tender ... retinopathy Lab Tests ... Cryoglobulins • HIV ... #rheumatology #
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 #
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 ... Posterior #Injury #msk ... #clinical #video
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis - Clinical ... bouts of HTN Diagnostic ... not swollen or less ... negative, MOG-IgG test ... brain and/or optic nerve