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msk differential joint rheumatology management clinical pocus effusions knee monoarthritis monoarticular physicalexam polyarthritis polyarticular septic signs symptoms workup abscess ac
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Fever/Chills/Joint pain ... - Septic Arthritis ... (1%) - Watch out ... : - Gout - Pseudo ... gout - Osteoarthritis
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Monoarthritis • Septic ... Crystalline - Gout ... “Bamboo Spine” Fusion ... Erythematosus (SLE), should ... Joint #Disorders #msk
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 ... #Diagnosis #MSK
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... weird joints (shoulders ... disease states Pathophysiology ... onset of swelling, pain ... Wrist, MCP, or shoulder
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
pain. ... Diagnosis? ... #Arthritis #Effusion ... POCUS #clinical #ultrasound ... #MSK
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 Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Knee Effusions - ... Inflammatory arthritis ... analysis: • MSU ... : Gout • CPPD: ... Interpretation #diagnosis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint Pain ... , gout or pseudogout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... • Gout/pseudogout ... Poikilothermia • Septic ... #differential #diagnosis ... lower #extremity #msk
Meralgia paresthetica: Pathogenesis and Clinical Findings Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica •
be made, rule out ... Raise Test - Pain ... ligament (near anterior ... MeralgiaParesthetica #MSK ... #pathophysiology
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
Gout - Diagnosis ... swelling, significant pain ... frequent attacks • Arthritis ... not possible • Ultrasound ... Dual-energy CT → MSU
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