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Hand Arthritides - Differential Diagnosis by Location and Features

The Painful Hand!  Wish I would’ve thought
Hand Arthritides ... prior to my first MSK ... keeping the various arthritides ... #Arthritis #Differential ... Diagnosis #Location #MSK
Seesaw Nystagmus on Physical Exam

Ocular examination revealed rhythmic, torsional, and vertical movement in which the eye
Seesaw Nystagmus ... finding known as seesaw ... #Seesaw #Nystagmus ... #PhysicalExam #Clinical
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... either pendular (seesaw ... or jerk (semi seesaw ... Seesaw nystagmus ... ophthalmology #clinical
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
Rheumatoid Arthritis ... Rheumatoid Arthritis ... systemic nature of RA sees ... inflammation #joint #msk ... #arthritis #TNF
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Seesaw Nystagmus ... Sawtooth or seesaw ... neurologiabr #seesaw ... #physicalexam #clinical
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joints • Reactive arthritis ... • Psoriatic arthritis ... • Rheumatoid Arthritis ... Amy Chung, MD, MSc ... Joint #Disorders #msk
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... prior signs or clinical ... - **MSK rads ... #mri #clinical
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... with rheumatoid arthritis ... oxalate Infectious Arthritis ... #Joint #Pain #MSK
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
• Rheumatoid Arthritis ... Asymmetric (Psoriatic Arthritis ... • Psoriatic Arthritis ... Inflammatory #JointPain #MSK
Typical Clinical Presentations of Septic Arthritis by Pathogen and Joint Involvement

#Diagnosis #Septic #Arthritis #Differential #History #Presentation
Typical Clinical ... Presentations of Septic Arthritis ... Diagnosis #Septic #Arthritis