10 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
disease must be ... -60 minutes or longer ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... ankles, knees, fingers ... swelling, significant pain ... #rheumatology
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
little, or pinky, finger ... with a searing pain ... wrist where it has been ... ECU Subluxation diagnosed ... Orthopedics #Wrist #msk
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
left eye that had been ... OD and counting fingers ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
may have only pain ... The diagnosis is ... Treatment can be ... tenosynovitis #msk ... #clinical #physicalexam
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
affects the skin, neurologic ... vesicular eruption • Joints ... tract: Abdominal pain ... Palpable purpura, joint ... #Rheumatology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
or without back pain ... bouts of HTN Diagnostic ... Transverse Myelitis Diagnosis ... Transverse Myelitis Treatment ... #management #neurology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
6th Decades (can be ... phenomenon (16%) MSK ... Adenocarcinoma Treatment ... Symptomatic: artificial tears ... Sjogrens #Syndrome #Rheumatology
Relapsing Polychondritis

What is it?
Recurrent inflammation of the cartilage in the body (Autoimmune disorder)

Who?
• Most frequently: 40
Sudden onset of pain ... Joints - Inflammation ... of joint cartilage ... affected tissue Treatment ... Polychondritis #rheumatology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... muscle aches, joint ... pain, chest pain ... : • Serology for ... scalp, vagina, fingers