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diagnosis rheumatology clinical pain causes joint physicalexam approach classification septic workup a4c acidosis algorithm autoimmune bursitis cardiology cardiomyopathy dermatology echocardiogram
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 ... #Joint #Pain #MSK ... approach #workup #differential
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Knee Effusions - Differential ... Fever/Chills/Joint ... Brucellosis - Viruses: HIV ... Effusions #causes #differential ... #diagnosis #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... spine, shoulders, hips ... • Rheumatic fever ... Joint #pain #Differential ... #Diagnosis #MSK
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Herpes zoster - HIV ... pain/swelling - Fever ... #Leg #pain #differential ... lower #extremity #msk
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
acute rheumatic fever ... Lyme), reactive arthritis ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #differential
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Red Flags: • Fever ... ITP - APLS - HIT ... Fecal occult blood test ... • Abdominal ultrasound
Osteomyelitis / Septic Arthritis on POCUS A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic Arthritis ... on POCUS A diabetic ... with pain and fever ... #clinical #POCUS ... #ultrasound #msk
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 Finger Fracture on POCUS 50yo female presents with 5th finger pain after her dog pulled on
dog pulled on his ... the following best ... there was high pre-test ... #clinical #ultrasound ... #MSK
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 Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... and often causes arthritis ... Coronary arteries - Fever ... retinopathy Lab Tests ... Cryoglobulins • HIV
Septic Olecranon Bursitis on POCUS A patient presents with fever to 102F and pain over her olecranon
Olecranon Bursitis on POCUS ... presents with fever ... An ultrasound over ... Olecranon #Bursitis #POCUS ... #MSK #Ortho
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