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diagnosis orthopedics clinical pocus radiology xray arthritis rheumatology elbow fracture hand approach checklist differential dislocation gout hemoperitoneum radius septic treatment
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... get bacterial seeding ... #Joint #Pain #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture • ED Management ... : Pain control, ... • Ortho consult ... XRay #Diagnosis #Management ... #Orthopedics #MSK
The Trauma Call Timeline - A trauma team assembles rapidly in response to a major trauma alert
of catastrophic bleeding ... to guide early management ... chest and pelvis, point ... resuscitation to control bleeding ... restore tissue perfusion
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
suggested by warmth, effusion ... non-activity, may have effusion ... the morning • Effusion ... Noninflammatory • Trauma ... #Diagnosis #MSK
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
involving small joints ... pain / swelling ... effusions, reduced ... narrowing) • Ultrasound ... Arthritis #diagnosis #management
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... tendon) • ED Management ... Finger splint • Ortho ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... most common major joint ... : Simple, pain control ... Simple, DC with ortho ... Orthopedics #Sports #MSK
MTP Gout Effusion on POCUS 50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... No trauma. ... without using ultrasound ... Clinical #POCUS #ultrasound ... #MSK #Toe
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 Ankle Arthrocentesis on POCUS This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
traumatic ankle pain ... Absence of a joint ... a septic joint unlikely ... clinical #POCUS #ultrasound ... #msk
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 ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
carpometacarpal joint ... , while the main ... : Pain control, ... Thumb spica • Ortho ... #Orthopedics #MSK
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