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clinical differential radiology arthritis gout management syndrome vasculitis approach carpi classification comparison degenerative dermatology ecu extensor fasciitis gouty haglund inflammatory
Haglund Syndrome - MSK Radiology Imaging Findings: • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
Haglund Syndrome - MSK ... Partial undersurface tear ... - Wearing high-heels ... #clinical #mri ... #msk
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 ... present both at rest ... 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
SAPHO Syndrome Summary What? SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
Diagnosis: ... - MRI: inflammation ... bone, pelvis, heel ... blockers had the best ... SAPHO #Syndrome #Rheumatology
Plantar fasciitis - MSK Radiology Imaging Findings: • Thickening of the plantar fascia central band (measuring 9mm)
Plantar fasciitis - MSK ... small interstitial tear ... • Ultrasound: ... Plantar fascia tear ... #msk
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 ... - GI tract: abdominal ... diminished, or tender ... retinopathy Lab Tests ... #rheumatology #
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... elbows, Achilles tendon ... not possible • Ultrasound ... management #treatment #rheumatology
Extensor Carpi Ulnaris (ECU) subluxation The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
hand, where it joins ... and joins the bones ... ECU Subluxation diagnosed ... , MRI or ultrasound ... Orthopedics #Wrist #msk
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