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diagnosis orthopedics radiology xray arthritis approach fracture lupus radius sle vasculitis workup autoimmune classification clues dislocation distal elbow finger forearm
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... • Acute = Viral ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... : Is the pain from ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology ... approach #workup #differential
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... : Pain control, ... MH/CCF/CWRU EM ... #Hand #Orthopedics ... #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... tendon) • ED Management ... MH/CCF/CWRU EM ... XRay #Diagnosis #Management ... #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... Viral Infections ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
radial-ulnar joint ... onto outstretched hand ... : Pain control ... MH/CCF/CWRU EM ... #Orthopedics #MSK
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Non-autoimmune rheumatologic ... Arthritis: • Joint ... pain • Swan neck ... arthropathy • 90% joints
Top 10 situations when to think about lupus 1) Inflammatory joint pain (especially in the wrists and
) Inflammatory joint ... pain (especially ... the face (many differential ... clues #system #erythematosus ... #rheumatology
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
olecranon fracture, distal ... radioulnar joint ... : Pain control ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential ... ischemia - Skin: erythematous ... vesicular eruption - Joints ... systemic lupus erythematosus ... #diagnosis #rheumatology
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