12 results
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Generally affects long ... • Differentiate ... BrighamChiefs #Bone #Joint ... #diagnosis #causes
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
after) the J point ... Winter syndrome - J-point ... Shark fin" - J-point ... Equivalents #ECG #EKG #diagnosis ... #differential #
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... - Differential ... Diagnosis Algorithm ... e.g. fractured long ... Vascular #JointPain #MSK
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Widening of the MTP joint ... for secondary signs ... Unstable 2nd MTP joint ... Differential diagnosis ... #msk
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... Equivalents / Don't Miss Signs ... -4 can have no pain ... Ischemia #ECG #EKG #diagnosis ... Interpretation #differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... #Arthritis #Joint ... #pain #Differential ... #Diagnosis #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar joint ... radial-ulnar joint ... will be obvious; signs ... ED Management: Pain ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... most common major joint ... can't make A-OK sign ... Management: Simple, pain ... Orthopedics #Sports #MSK
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... STE: "Pardee's sign ... notch at the J point ... Prinzmetal's Angina
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... papules and Gottron sign ... ) • Shawl sign ... Syndrome: Fever, joint ... #rheumatology #differential