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differential causes management pain physicalexam rheumatology algorithm approach comparison deformity degenerative disseminated effusions extremity gonococcal gonorrhea gout hearing infection infectiousdiseases
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Ligament • Bone ... e.g., congenital hip ... the subchondral bone ... #Pain #MSK #rheumatology ... #differential #diagnosis
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
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
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Bone Deformity / ... - Differential Diagnosis ... Joint • Hip Dysplasia ... Disease Knee Joint ... Deformity #Limp #MSK
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 ... - Aneurysmal bone ... #differential #diagnosis ... #msk #physicalexam
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Framework Bone ... Herpes zoster - HIV ... #differential #diagnosis ... lower #extremity #msk
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... Normal: Air > bone ... hearing loss: Bone ... Noise trauma ○ MS ... #Differential #Diagnosis
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 ... overhanging cortical bone
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