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differential pain rheumatology joint causes clinical infections infectiousdiseases management physicalexam signs aids approach bilateral blines borreliosis carpi cell ear earpain
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
or nerve root Symptoms ... of Joint Disease ... to bacterial, fungal ... #Pain #MSK #rheumatology ... #differential #diagnosis
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
Causes of Bone/Joint ... Generally affects long ... • XR, MRI to ... Osteomyelitis / Septic Arthritis ... #diagnosis #causes
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
Progressive URI ... sliding: Pulmonary ... disease, interstitial ... NOT definitively diagnose ... POCUS #clinical #ultrasound
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 Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Fever/Chills/Joint ... Alphavirus - Fungi ... - Aneurysmal bone ... #msk #physicalexam
Rheumatoid Arthritis - Signs and Symptoms • Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans • Pulmonary:
Rheumatoid Arthritis ... Scleromalacia perforans • Pulmonary ... : Parenchymal lung ... Bursa, Muscle, Bone ... #diagnosis #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... constitutional symptoms ... Mycobacterial • Fungal ... tuberculosis) • Fungi ... #Diagnosis #MSK
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
muscle aches, joint ... extrapulmonary disease ... change in the lungs ... Meningitis, septic arthritis ... nails, bronchi, lungs
Clinical Manifestations and Diagnosis of Lyme Disease - Borreliosis Erythema migrans - 3-32 days (median: 7-10 days)
Manifestations and Diagnosis ... of Lyme Disease ... missing in early disease ... swelling in one ... #Signs #Symptoms
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Presentation: Systemic Symptoms ... • Progressive symptoms ... oligoclonal bands • MRI ... Palpable purpura, joint
Ear Pain (Otalgia) - Differential Diagnosis Framework Primary Otalgia - Pain that originates from the ear
- Differential Diagnosis ... infections (90%), Fungal ... the following symptoms ... subdural hematoma, lung ... • Associated symptoms
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