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differential rheumatology clinical approach causes gout jointpain management mri pathophysiology physicalexam radiology syndrome ultrasound vasculitis workup ac acromioclavicular algorithm classification
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 ... #Joint #Pain #MSK ... #differential #diagnosis
Reactive Arthritis • Inflammation of joints (commonly large joints) - Asymmetric Oligoarthritis: Joint
Reactive Arthritis ... pain in a few joints ... Inflammation of tendons ... Enthesitis: Commonly Achilles ... pathophysiology #diagnosis
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... differentiated: • Inflammatory ... and many other inflammatory ... #Pain #MSK #rheumatology ... #differential #diagnosis
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint ... Pain - Differential ... Diagnosis Algorithm ... #JointPain #MSK ... #Differential #Diagnosis
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... Overview: chronic, inflammatory ... ) • joint pain ... intra-articular corticosteroid ... #Rheumatoid #Arthritis
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... in Rheumatoid arthritis ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Haglund Syndrome - MSK Radiology Imaging Findings: • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
Haglund Syndrome - MSK ... Differential diagnosis ... : • Inflammatory ... Arthritis: Often ... #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... Differential Diagnosis ... Joint #pain #Differential ... #Diagnosis #MSK
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS) Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... Care Ultrasound (POCUS ... presented with R calf pain ... Complete #Tear #MSK
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 Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... with joint-space ... : • Inflammatory ... Giant Cell Tumor Tendon
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