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diagnosis msk differential clinical arthritis treatment knee pain physicalexam checklist covid19 cppd disease doffing effusions hematology monoarthritis monoarticular personalprotectiveequipment pocus
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
): • Septic joint ... reactive arthritis, gout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... • This case should ... • Gout can present ... Gout is relatively ... #rheumatology
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Joint Disorders ... Monoarthritis • Septic ... Crystalline - Gout ... Erythematosus (SLE), should ... #Disorders #msk
Approach to Gout Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals Treatment: • Weight loss, diet, d/c culprit
Approach to Gout ... Diagnosis: r/o septic ... NUIM_Chiefs #gout ... #diagnosis #management ... treatment #ULT #rheumatology
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... (shoulders, wrists ... disease states Pathophysiology ... Wrist, MCP, or shoulder ... #Comparison #rheumatology
Adhesive Capsulitis (Frozen Shoulder) - Pathogenesis and Clinical Findings • Primary (Idiopathic): Unknown etiology, but associated
the glenohumeral joint ... joint inflammation ... joint inflammation ... FrozenShoulder #pathophysiology ... stages #staging #msk
Gout Tophus on POCUS Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... suggests gout. ... Herbst @EUSmkh #Gout ... POCUS #ultrasound #msk ... #rheumatology #
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 Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
axial (spine, shoulders ... Very hard to get out ... Crystal induced (Gout ... fever • Lyme • Gout ... 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 ... Knee Effusions - Septic ... (1%) - Watch out ... Effusions: - Gout ... - Pseudo gout
Lemierre’s Syndrome - Pathophysiology Lemierre’s is an infectious thrombophlebitis of the internal jugular vein. - It starts
Lemierre’s Syndrome - Pathophysiology ... - It starts out ... From there, septic ... endocardium, and joints ... Lemierres #Syndrome #Pathophysiology
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