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diagnosis rheumatology pain physicalexam arthritis classification acidosis algorithm approach autoimmune dermatology effusions elevation extremity knee lactate lactic leg lower management
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
acute rheumatic fever ... Like in this case ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #differential
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 - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis Differential ... spine, shoulders, hips ... weeks) Can Be Caused ... #pain #Differential ... #Diagnosis #MSK
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Causes of Knee Effusions ... - Differential ... Fever/Chills/Joint ... #differential # ... diagnosis #msk #
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Rash - Differential ... Red Flags: • Fever ... Fecal occult blood test ... • Abdominal ultrasound
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... / hypoxemia -> focus ... or diagnostic tests ... Join the resistance ... Ethylene glycol - HIV
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
back pain at/near level ... defined sensory level ... negative, MOG-IgG test ... , Hep A/B/CMV, TB ... management #neurology #differential
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... tract, and often causes ... vesicular eruption - Joints ... retinopathy Lab Tests ... Cryoglobulins • HIV
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Diagnostic Tests ... , joint pain and ... weakness + atrophy- Hip ... statins - probably caused
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