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rheumatology causes management algorithm joint orthopedics cardiology clinical jointpain symptoms bone electrocardiogram equivalents neurology radiology stemi a4c approach arteritis autoimmune
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
alterations (e.g ... derangements (e.g ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
• Interstitial lung ... • Shrinking lung ... disease, Vasculitis (e.g ... #pain #differential ... #diagnosis #rheumatology
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Pain - Differential ... • Reactive (e.g ... Enteropathic (e.g ... Enteropathic (e.g ... Inflammatory #JointPain #MSK
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... mass and NO prior signs ... - **MSK rads ... Differential diagnosis
Vascular Joint Pain - Differential Diagnosis Algorithm - Constant Pain (Ischemia) - Acute Onset -
Vascular Joint Pain ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g ... Vascular #JointPain #MSK
Back Pain - Differential Diagnosis Primary Back Pathology: • Musculoligamentous injury (a.k.a. lumbosacral strain) • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... (most common: lung ... spondyloarthritis (e.g ... spondyloarthritis (e.g
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
Generally affects long ... • XR, MRI to ... Osteomyelitis / Septic Arthritis ... • Differentiate ... #diagnosis #causes
Chronic Joint Pain - Differential Diagnosis Algorithm Intra-Articular - Bone • Stress
Chronic Joint Pain ... - Differential ... Diagnosis Algorithm ... • Fascitis (e.g ... Intraarticular #MSK
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... infarct STEMI - J point ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
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