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diagnosis differential clinical rheumatology ultrasound physicalexam vasculitis abscess ac acromioclavicular ankle approach causes classification effusion effusions extremity infected knee leg
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 ... patient had a prosthetic ... Worry about late prosthetic ... #Joint #Pain #MSK
Complete achilles tendon rupture on POCUS Patient with posterior ankle pain playing sports. Complete achilles tendon rupture.
Complete achilles ... posterior ankle pain ... Complete achilles ... #POCUS #Complete ... #clinical #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
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 Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Framework Bone/Joint ... • Fracture • Arthritis ... • Gout/pseudogout ... - Fever/chills ... lower #extremity #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 ... pain/Night sweats ... Effusions: - Gout ... - Pseudo gout ... differential #diagnosis #msk
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
on POCUS IVDU ... left shoulder pain ... Tender on top of ... #Effusion #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 ... swelling, significant pain ... frequent attacks • Arthritis ... extensor elbows, Achilles ... tendon, fingers
Purulent Ankle Joint on POCUS Young patient 2 weeks status post ORIF of ankle fracture presents with
on POCUS Young ... presents with ankle pain ... flowing in and out ... to have septic arthritis ... #ultrasound #msk
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
diminished, or tender ... vesicular eruption • Joints ... pauci-immune GN Immune Complex ... Palpable purpura, joint ... , abdominal pain
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tracts Immune Complex ... vesicular eruption - Joints ... diminished, or tender ... Vessels: Supply gut ... , testes -> pain
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