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diagnosis differential orthopedics management approach clinical hand radiology vasculitis workup xray autoimmune bursa classification dislocation gout greater injection interphalangeal ipjoint
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint hinge joint ... hinge joint; ROM ... fingertip) • Exam: Pain ... splint • Ortho ... #Orthopedics #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
DIP joint that ... is fixed in flexion ... ED Management: Pain ... joint • Ortho ... #Orthopedics #MSK
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... Adjacent bursa • Tendon ... -60 minutes or longer ... e.g., congenital hip ... #Pain #MSK #rheumatology
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 ... #rheumatology #
Greater Trochanteric Bursa Injection Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... joint. ... Injection #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics
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 Trigger Finger - Stenosing flexor tendon tenosynovitis There is a change in the slip between the tendon
Stenosing flexor ... one shown in the video ... may have only pain ... #msk #clinical ... #orthopedics #rheumatology
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... forefoot, ankles, knees ... frequent attacks • Arthritis ... elbows, Achilles tendon ... management #treatment #rheumatology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
diminished, or tender ... of shoulder and hip ... tract: Abdominal pain ... Palpable purpura, joint ... Differential #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
vesicular eruption - Joints ... episcleritis as well as inner ... diminished, or tender ... Cryoglobulins • HIV ... differential #diagnosis #rheumatology
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Syndrome: Fever, joint ... weakness + atrophy- Hip ... , finger flexors ... • Nonerosive arthritis ... Myositis #Myopathy #rheumatology
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