13 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder ... - Differential Diagnosis ... tests for the AC ... joint: 1. ... #Algorithm #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... rheumatic fever • Chronic ... hepatitis, herpes • Chronic ... #Joint #Pain #MSK ... #differential #diagnosis
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Diagnosis? ... Scan over AC joint ... AC joint septic ... AC joint septic ... #MSK
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... Summary Overview: chronic ... narrowing) • Ultrasound ... ideally limit for acute ... #Rheumatoid #Arthritis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... : • Acute or chronic ... #Pain #MSK #rheumatology ... #differential #diagnosis ... #arthritis
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic ... - Differential Diagnosis ... : ACS, Acute decompensated ... Depression - VA Joint ... #Differential #Diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... the time course (acute ... MONOARTHRITIS • Acute ... asymmetric pattern Acute ... #Diagnosis #MSK
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
, CLL Acute leukemias ... ALL (Acute Lymphoblastic ... bone pain, fever, joint ... , weight loss, abdominal ... Hematology #Oncology #Diagnosis
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... not possible • Ultrasound ... Dual-energy CT → MSU
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
of the affected joint ... Screening Tests for Acute ... Screening Tests for Chronic ... (to support a diagnosis ... laboratory #workup #diagnosis