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differential rheumatology approach pain workup ac acromioclavicular algorithm bone causes clinical comparison deformity degenerative effusion examination gout impingement inflammatory jointdisease
Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
acromioclavicular joint ... tendon tenderness ... (using Speed's ... (In Speed's test ... #Diagnosis #PhysicalExam
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... for cell count, culture ... #Joint #Pain #MSK ... #differential #diagnosis
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 ... improves quickly with rest ... #Pain #MSK #rheumatology ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... inflammation that seeps ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
- Differential Diagnosis ... • Rickets Hip Joint ... Patella (e.g., Tendon ... Rupture, Dislocation ... Deformity #Limp #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
Septic Arthritis ... Tender on top of ... Diagnosis? ... Culture MRSA. ... clinical #ultrasound #MSK
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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 ... attacks • Other joints ... frequent attacks • Arthritis ... elbows, Achilles tendon ... Dual-energy CT → MSU
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