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diagnosis rheumatology management differential pathophysiology lupus msk sle erythematosus ra rheumatoid systemic treatment algorithm workup autoimmune complications disease gca hepatology
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractured carpal bone ... "pooping duck sign ... common carpal bone ... functional deficit and arthritis ... "pooping duck sign
Symptoms of Hypophosphatemia • CNS: Seizures, Delirium, Paresthesias, Central & extrapontine myelinolysis, Hallucinations, Fatigue • Hematologic:
Symptoms of Hypophosphatemia ... Hallucinations, Fatigue • Hematologic ... Heart failure • Bones ... Growth retardation, Bone ... #Signs #Diagnosis
Hyperparathyroidism - Primary vs Secondary vs Tertiary Lab Comparison: • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Tertiary Lab Comparison ... : Commonly no signs ... , Fragile bones/ ... easily/weakness, Bone ... pain Psychiatric Symptoms
Rheumatoid Arthritis Summary MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Rheumatoid Arthritis ... #Rheumatoid #Arthritis ... RA #diagnosis #rheumatology ... #signs #symptoms
Stages of Syphilis Early Primary: • Painless chancre • Regional lymphadenopathy Early Secondary: • Fever, malaise • Rash
testing • No symptoms ... aortic aneurysm, arteritis ... Nodular lesions in bone ... Syphilis #Stages #symptoms ... #signs #diagnosis
Systemic Lupus Erythematosus (SLE): Musculoskeletal Manifestations • Immune Complex Deposition - Arthralgia, Arthritis
- Arthralgia, Arthritis ... Weakness, Incr CK • Bone ... pathophysiology #signs ... #symptoms #diagnosis
Femoral Head Fracture: Pathogenesis and clinical findings • Posterior hip dislocation -> Impaction force from femoral
tear a portion of bone ... onto lateral hip Signs ... /Symptoms/Complications ... weight-bear • Arthritic ... pathophysiology #signs
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Ligament • Bone ... or nerve root Symptoms ... • Inflammatory arthritis ... the subchondral bone ... Joint #Pain #MSK #rheumatology
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Diagnosis Algorithm Symptoms ... quadrant discomfort Signs ... Associated history: Symptoms ... Raynaud's phenomenon, arthritis ... Diagnosis #Algorithm #hepatology
Psoriatic Arthritis: Pathogenesis and Clinical findings In tendons and connective tissues: • Enthesitis - Pain/tenderness over
Psoriatic Arthritis ... insertion into bone ... Arthritis of DIP ... pathophysiology #diagnosis #signs ... #symptoms
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