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rheumatology differential workup approach management orthopedics pain pathophysiology achilles algorithm bone causes comparison deformity degenerative disease disseminated gonococcal gonorrhea gout
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
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... for cell count, culture ... - parvovirus, HIV ... #Joint #Pain #MSK ... #differential #diagnosis
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
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 •
- Differential Diagnosis ... Joint • Hip Dysplasia ... Disease Knee Joint ... (e.g., Tendon Rupture ... Deformity #Limp #MSK
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Gram stain and culture ... of the affected joint ... : HIV test, a rubella ... (to support a diagnosis ... laboratory #workup #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 ... Dual-energy CT → MSU
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