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diagnosis rheumatology arthritis physicalexam vasculitis workup arteritis classification conditions dissection ecg effusions electrocardiogram equivalents extrarticular extremity gca giantcell interpretation ischemia
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... Pain History ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
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 ... #Joint #Pain #MSK ... #rheumatology # ... #differential #
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... chest/abd/back pain ... Examine for: • Pulse ... deficit/differential ... Dissection #diagnosis #management
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... Causes of Leg Pain ... Limb ischemia • Aortic ... refill - Poor pulses ... lower #extremity #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... weeks) Can Be Caused ... #pain #Differential ... #Diagnosis #MSK
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... disease, Vasculitis (e.g ... Rheumatic fever • Aortic ... Diminished peripheral pulses ... #pain #differential
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential ... Fever/Chills/Joint ... pain/Night sweats ... Loss of signal pulses ... diagnosis #msk #
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... : Acute STEMI, Aortic ... -4 can have no pain ... #EKG #diagnosis ... Interpretation #differential
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... tract, and often causes ... vesicular eruption - Joints ... diminished, or tender pulses ... #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
< 30 years • Aorta ... claudication, pulse ... Arteritis): • Aorta ... tract: Abdominal pain ... tract, and often causes
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