78 results
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Elevated ESR, Normal ... muscle weakness • Normal ... CK, Detectable HIV ... Myopathies #myopathy #differential ... diagnosis #comparison #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... joint preventing ... BunnelLittler #Test ... PhysicalExam #clinical #video ... #msk #PIP
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
Causes of Anemia with elevated Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Normal Blood Smear
 •
Volume (MCV) - Differential ... Liver Function Tests ... Liver Function Tests ... #elevatedMCV #Differential ... Algorithm #Causes #Hematology
Ankle Joint Injection

Dr. Janet Pope @Janetbirdope

#Ankle #Joint #Injection #clinical #video #rheumatology #procedure #msk
Ankle Joint Injection ... Janetbirdope #Ankle #Joint ... Injection #clinical #video ... #rheumatology # ... procedure #msk
Knee Joint Injection

Dr. Janet Pope @Janetbirdope

#Knee #Joint #Injection #clinical #video #rheumatology #procedure #msk
Knee Joint Injection ... Janetbirdope #Knee #Joint ... Injection #clinical #video ... #rheumatology # ... procedure #msk
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
osteophytes & narrowed joint ... Injection #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... common sites: hip ... • Differentiate ... BrighamChiefs #Bone #Joint ... diagnosis #causes #hematology
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Microangiopathy (TMA) - Differential ... Direct antiglobulin test ... hemosiderin • PT/aPTT normal ... Microangiopathy #TMA #Differential ... Management #Algorithm #hematology