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differential joint rheumatology clinical physicalexam ultrasound workup ac acromioclavicular causes dermatology effusion effusions extremity gout knee leg lower management oncology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... warm, swollen, tender ... (1 joint): • Septic ... #Joint #Pain #MSK
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... Adjacent bursa • Tendon ... #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Osteomyelitis / Septic Arthritis on POCUS A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic ... Arthritis on POCUS ... presents with pain ... overlying effusion and tendon ... #msk #radiology
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 Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
Arthritis on POCUS ... left shoulder pain ... Tender on top of ... Diagnosis? ... #ultrasound #MSK
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 Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... Poikilothermia • Septic ... swelling - Fever/chills ... #differential #diagnosis ... lower #extremity #msk
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 ... pain/Night sweats ... Knee Effusions - Septic ... #msk #physicalexam
Sweet Syndrome Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
Rash: multiple tender ... Inflammation and pain ... Sudden onset of tender ... erythema - Bacterial sepsis ... Treatment: - Systemic corticosteroids
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
swelling, significant pain ... frequent attacks • Arthritis ... extensor elbows, Achilles ... tendon, fingers ... Dual-energy CT → MSU
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