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clinical differential arthritis flexor gout management orthopedics physicalexam tenosynovitis vasculitis approach carpi classification comparison degenerative ecu extensor gouty inflammatory jointdisease
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... interphalangeal joint ... with joint-space ... Giant Cell Tumor Tendon ... #msk #rheumatology
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... -60 minutes or longer ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... motion (relieved by rest ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Flexor Tenosynovitis on POCUS Which of the following diagnoses does this clip best support? Resolution: flexor tenosynovitis (majority
the following diagnoses ... does this clip best ... around the flexor tendon ... Tenosynovitis #POCUS #MSK ... #clinical #ultrasound
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 Trigger Finger - Stenosing flexor tendon tenosynovitis There is a change in the slip between the tendon
The diagnosis is ... complemented with ultrasound ... Ultrasound can show ... tenosynovitis #msk ... #orthopedics #rheumatology
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... ankles, knees, fingers ... elbows, Achilles tendon ... not possible • Ultrasound ... management #treatment #rheumatology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
diminished, or tender ... vesicular eruption • Joints ... oligoclonal bands • MRI ... Palpable purpura, joint ... #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
vesicular eruption - Joints ... ear disease ... diminished, or tender ... retinopathy Lab Tests ... #rheumatology #
Extensor Carpi Ulnaris (ECU) subluxation The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
hand, where it joins ... little, or pinky, finger ... ECU Subluxation diagnosed ... , MRI or ultrasound ... Orthopedics #Wrist #msk
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 Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
Joints - Inflammation ... of joint cartilage ... : • Clinical tests ... Polychondritis #rheumatology ... #diagnosis #management
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