22 results
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Ultrasound Young ... Lower abdominal pain ... Diagnosis/differential ... Pelvis Sag See thread ... #OBGyn #Obstetrics
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... Chronic = RA, SLE ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... Pain Rash ... #dermatology #joint ... #differential # ... diagnosis #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Pain Eyes ... • Bacterial or viral ... #pain #differential ... #diagnosis #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... arthritis • SLE ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... dz difficult to see ... • Differentiate ... #diagnosis #causes ... #hematology
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... Detectable HIV viral ... Myopathies #myopathy #differential ... #diagnosis #comparison ... #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
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 ... ; sometimes « viral ... erythematosus #rheumatology
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
severe abdominal pain ... showed this 😳 (see ... below for diagnosis ... #Ultrasound #POCUS ... #clinical #obgyn