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diagnosis differential clinical abscess approach arthritis autoimmune classification fracture gout hand management myopathy myositis pain treatment vasculitides vasculitis workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
present both at rest ... -60 minutes or longer ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology
Finger Fracture on POCUS 50yo female presents with 5th finger pain after her dog pulled on
Finger Fracture ... dog pulled on his ... the following best ... there was high pre-test ... #ultrasound #MSK
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 Finger Abscess on POCUS This 40yo diabetic presents with 3rd MCP pain and erythema x 2d, now
POCUS This 40yo ... Here is his ultrasound ... What the best step ... tenosynovitis or septic joint ... #POCUS #clinical
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... ankles, knees, fingers ... not possible • Ultrasound ... management #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
vesicular eruption - Joints ... Coronary arteries - Fever ... retinopathy Lab Tests ... Cryoglobulins • HIV ... differential #diagnosis #rheumatology
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Diagnostic Tests ... RP-ILD), dermato-rheumatologic ... , joint pain and ... weakness + atrophy- Hip ... flexors, quadriceps, finger
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