8 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... e.g., meniscal tears ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
The diagnosis is ... Ultrasound can show ... tenosynovitis #msk ... #clinical #physicalexam ... #orthopedics #rheumatology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Reflexes: • Deep tendon ... • Examine for signs ... If ok with ICU team ... caseyalbin #PhysicalExam
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Findings in or Near ... , swollen, and tender ... #Pathology #Diagnosis ... #Clinical #Signs ... #PhysicalExam #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
ankles, knees, fingers ... elbows, Achilles tendon ... not possible • Ultrasound ... double contour sign ... management #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
ear disease ... purpura: strong sign ... diminished, or tender ... retinopathy Lab Tests ... #rheumatology #
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... diminished, or tender ... fluid (CSF) is abnormal ... gut involvement, abdominal ... #Rheumatology
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
pressure and cranial ultrasound ... is also a late sign ... If abnormal, this ... Any intra-abdominal ... Newborn #Infant #PhysicalExam