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ultrasound differential management physicalexam rheumatology abscess ac acromioclavicular ankle approach causes complete dermatology effusion effusions extremity fungal gout infected infections
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... ): • Septic joint ... • WBC >20k: Septic ... #Joint #Pain #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
Septic Arthritis ... left shoulder pain ... Tender on top of ... Diagnosis? ... #MSK
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 Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS) Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... presented with R calf pain ... Complete #Tear #MSK ... #Clinical #POCUS
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 Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... Poikilothermia • Septic ... - 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
Osteomyelitis / Septic Arthritis on POCUS A diabetic adult presents with pain and fever at this site.
Arthritis on POCUS ... presents with pain ... overlying effusion and tendon ... #Arthritis #clinical ... #msk #radiology
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 Sweet Syndrome Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
Rash: multiple tender ... Inflammation and pain ... of the joints ( ... erythema - Bacterial sepsis ... Treatment: - Systemic corticosteroids
Purulent Ankle Joint on POCUS Young patient 2 weeks status post ORIF of ankle fracture presents with
presents with ankle pain ... found to have septic ... arthritis and osteomyelitis ... #POCUS #clinical ... #ultrasound #msk
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... extensor elbows, Achilles ... tendon, fingers
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
has five major clinical ... muscle aches, joint ... pain, chest pain ... fungal stain of clinical ... arthritis, and
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