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differential rheumatology clinical pain management physicalexam pocus septic workup algorithm approach causes effusions gout knee monoarthritis monoarticular mtp polyarthritis polyarticular
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... #Joint #Pain #MSK ... #differential #diagnosis
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Joint Disorders ... - Differential Diagnosis ... “Bamboo Spine” Fusion ... #Disorders #msk ... #Differential #Diagnosis
MTP Gout Effusion on POCUS 50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... No trauma. ... using ultrasound ... MTP joint. ... #MSK #Toe
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 Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Fever/Chills/Joint ... - Septic Arthritis ... #differential #diagnosis ... #msk #physicalexam
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
Tender on top of ... Diagnosis? ... showed effusion ... #clinical #ultrasound ... #MSK
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 Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Inflammatory arthritis ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology ... #differential #diagnosis ... #arthritis
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... effusions, reduced ... narrowing) • Ultrasound ... DIAGNOSIS based ... #Rheumatoid #Arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... suggested by warmth, effusion ... the morning • Effusion ... Noninflammatory • Trauma ... #Diagnosis #MSK
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Framework Bone/Joint ... pseudogout • Trauma ... #differential #diagnosis ... lower #extremity #msk
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
of the Hip • Arthritis ... Poliomyelitis Activity/ Trauma ... • Sacroiliac Joint ... symptoms #signs #diagnosis ... #msk
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