20 results
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Diagnosis and Management ... Direct antiglobulin test ... hemosiderin • PT/aPTT normal ... #Diagnosis #Management ... #Algorithm #hematology
Ober's Test for TFL/ITB Inflammation

With the patient in the lateral position, affected side up.  The
Ober's Test for ... , flexing the hip ... and abducts the hip ... In a normal test ... physicalexam #sports #msk
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential ... Brucellosis - Viruses: HIV ... - Synovium - Oral ... Effusions #causes #differential ... #diagnosis #msk
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Elevated ESR, Normal ... muscle weakness • Normal ... Myopathies #myopathy #differential ... #diagnosis #comparison ... #rheumatology
Hodgkin's Lymphoma vs Non-Hodgkin's Lymphoma - Comparison

Hodgkin's Lymphoma:
 • Epidemiology: young adults 20-30, older 50-70
 •
Non-Hodgkin's Lymphoma - Comparison ... involvement Differential ... #NonHodgkins #comparison ... oncology #diagnosis #differential ... #hematology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... Coxsackie, CMV, EBV, HIV ... CK, normal biopsy ... Disease #diagnosis #management ... #treatment #rheumatology
Trendelenburg Test for Hip Stability

The Trendelenburg test assesses for hip stability
The examiner sits behind the patient
Trendelenburg Test ... Trendelenburg test ... flexed at the knee ... In normal function ... video #sports #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... commonly affects the knee ... hip and L/C-spine ... #Degenerative #Comparison ... #Versus #MSK #JointDisease
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
• HepB • HIV ... Stillbirth GDM Management ... Glucose Challenge Test ... if ≥1 value is abnormal ... Amy Chung, MD, MSc
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... e.g., congenital hip ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential