22 results
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Pathologic: • Valvular ... disorders: - aortic ... regurgitation - aortic
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... Non-bloody: OA, avascular ... #rheumatology # ... approach #workup #differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... cardiac tamponade, Vascular ... Distributive (↓ Vascular ... uw_IMresidency #Shock #Differential ... #Diagnosis #table
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Consider aortic ... Examine for: • Pulse ... deficit/differential ... diagnosis #management #vascular
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Obstruction • Aortic ... Infarction • Stable ... Non-lschemic • Aortic ... Mediastinal Causes: - Vascular
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential ... Pathologic Causes: • Valvular ... disorders: - Aortic ... regurgitation - Aortic ... #Pressure #Differential
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Avascular necrosis ... • Differentiate ... BrighamChiefs #Bone #Joint ... diagnosis #causes #hematology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
Quincke's Pulse ... echocardiogram (non-valvular ... systolic function, no valvular ... At this point thiamine ... highest on my differential
Extra-articular and Other Conditions Associated with Joint Pain

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

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... osteopetrosis, avascular ... #Pain #MSK #rheumatology ... approach #workup #differential