13 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
female with chest pain ... additional clot seen in RA ... Echocardiogram #A4c
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis (RA ... diseases features • RA ... poly-articular joint pain ... wrists, metacarpal-phalangeals ... arthralgia (joint pain
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder Pain ... tests for the AC ... Chronic #Shoulder #Pain ... Diagnosis #Algorithm #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint Pain ... History: Is the pain ... arthritis: - Pain ... rheumatoid arthritis (RA ... #MSK #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... mycobacterial), RA ... • Chronic = RA ... #Joint #Pain #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint Pain ... Noninflammatory Pain ... at night Pain ... Symmetrical: • RA ... Differential #Diagnosis #MSK
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint pain ... arthritis - Juvenile RA ... differential #diagnosis #msk
Shoulder Impingement Syndrome (SIS): Signs and Symptoms

Repetitive Overhead Activity, Scapular Dyskinesis -> Scapulohumeral mechanics become altered
Syndrome + Painful arc ... test - Pain at ... reproduces the pain ... rotation reproduces pain ... signs #symptoms #msk
Femoral Vein Stent Migration to Right Atrium on POCUS Echocardiogram

Pt 2mos s/p femoral vein stent presents
presents with chest pain ... ring) migrated to RA ... complications incl. aortic/RA ... Echocardiogram #S4C
Painful Arc Test for Subacromial Impingement

The patient elevates the arm in the scapular plane, then slowly
Painful Arc Test ... positive if there is pain ... PT_yuu_mizu628 #Painful #Arc ... #orthopedics #msk