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rheumatology approach arthritis orthopedics pain pathophysiology workup achilles algorithm bone causes classification comparison deformity degenerative hearing inflammatory jointdisease jointpain limp
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 ... warm, swollen, tender ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #differential
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... tend to bear the ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Diagnosis Algorithm ... Joint • Hip Dysplasia ... Patella (e.g., Tendon ... Deformity #Limp #MSK ... #Differential #
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Hearing Loss - Differential ... Diagnosis Framework ... Noise trauma ○ MS ... zoster virus ○ HIV ... #Diagnosis #otology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Diagnosis Framework ... vesicular eruption - Joints ... diminished, or tender ... retinopathy Lab Tests ... Cryoglobulins • HIV
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