29 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... that patient had ... #Joint #Pain #MSK ... approach #workup #differential ... #diagnosis #arthritis
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... Diagnosis Algorithm ... Genitourinary Infection ... Inflammatory #JointPain #MSK ... #Differential #
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... : UC and CD • infection ... (e.g. pseudomembranous ... #Differential # ... Diagnosis #radiology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... with joint-space ... mass and NO prior signs ... Differential diagnosis ... #diagnosis #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Acute or chronic infections ... alterations (e.g ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
, Pads on patient ... worsening brady, Signs ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
infarct STEMI - J point ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... V2 • Wellens sign ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
outside of the joint ... Differential diagnosis ... GAGL): "Reverse J sign ... mri #clinical #Radiology ... #diagnosis #msk