37 results
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... • XR, MRI to ... • Differentiate ... #diagnosis #causes ... #hematology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... Examine for: • Pulse ... deficit/differential ... #Dissection #diagnosis ... #management #vascular
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Bone/Joint Causes ... Limb ischemia • Aortic ... refill - Poor pulses ... differential #diagnosis
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... Like in this case ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
lesions + Rheumatic pain ... thickening • Osteitis: pain ... Rule out other causes ... - MRI: inflammation ... #diagnosis #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management ... /V/diaphoresis Aortic ... PEX: New murmur, Pulse ... #differential
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... organ or nerve root ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
interphalangeal joint ... with joint-space ... Case description ... Differential diagnosis ... #msk #rheumatology
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Case description ... • Pain worsens ... Differential diagnosis ... Freiberg #Infraction #foot ... #clinical #mri
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Rheumatic fever • Aortic ... Diminished peripheral pulses ... #pain #differential ... #diagnosis #rheumatology