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diagnosis arthritis differential ultrasound clinical signs systemic erythematosus lupus pain sle symptoms workup ac acromioclavicular analysis apml approach arthrocentesis autoimmune
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
): • Septic joint ... lower limbs) • WBC ... >20k: Septic joints ... presentation with lower WBC ... #Joint #Pain #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
WBC/CRP/ESR elevated ... Arthrocentesis-64K WBC ... AC joint septic ... #Effusion #POCUS ... clinical #ultrasound #MSK
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 Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Knee Effusions - ... Viscosity: Low • WBC ... : Variable • WBC ... Viscosity: High • WBC ... #joint #fluid #
Septic arthritis of the elbow on Point of Care Ultrasound (POCUS) 66M w painful, swollen R elbow
Septic arthritis ... Care Ultrasound (POCUS ... effusion seen between ... Synovial fluid WBC ... #Clinical #POCUS
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 Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
point (hard to ... atelectasis has static ... Respiratory Distress Syndrome ... submassive PE) POCUS ... #POCUS #ultrasound
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
, erythema and WBC ... with few WBCs ( ... - Autoimmune Rheumatologic ... Differential #Diagnosis #MSK ... #rheumatology #
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
50%): Pleurisy / effusion ... , Restrictive lung ... (90%): Aseptic ... Demyelinating syndromes ... symptoms #diagnosis #rheumatology
MTP Gout Effusion on POCUS 50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
great toe pain-MTP joint ... POCUS revealed joint ... MTP joint. ... WBC-48K. ... #ultrasound #MSK
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 Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Differentiation Syndrome ... if high risk if WBC ... HoTN, edema and effusions ... Diagnosis: Infection (sepsis ... QD until normal WBC
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
pericarditis • Hepatic ... : PBC (primary biliary ... (interstitial lung ... Musculoskeletal: joint ... Scleroderma #SSc #rheumatology
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