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differential management pain pathophysiology physicalexam rheumatology approach causes comparison degenerative disseminated effusions extremity gonococcal gonorrhea gout infection infectiousdiseases inflammatory jointdisease
Achilles Tendon Rupture - Pathogenesis and clinical findings • The Achilles tendon is 15cm long in
gastrocnemius (+ Thompson ... calf squeeze test ... - Weakness to ankle ... TendonRupture #diagnosis ... pathophysiology #msk
Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... the workup • Test ... all patients for HIV ... knees, wrists, ankles
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
present both at rest ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... in Rheumatoid arthritis ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential Diagnosis ... Fever/Chills/Joint ... Brucellosis - Viruses: HIV ... #differential #diagnosis ... #msk #physicalexam
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... swelling - Fever/chills ... #differential #diagnosis ... lower #extremity #msk
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... include forefoot, ankles ... frequent attacks • Arthritis ... extensor elbows, Achilles
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