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diagnosis differential approach clinical erythematosus gout lupus management pocus sle systemic workup ac acromioclavicular autoimmune extremity leg lower monoarthritis monoarticular
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... neuropathy so trauma ... get bacterial seeding ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... Noninflammatory • Trauma ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... : Is the pain from ... Disease: • Pain ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... pain / swelling ... effusions, reduced ... narrowing) • Ultrasound ... diagnosis #management #rheumatology
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Framework Bone/Joint ... • Fracture • Arthritis ... pseudogout • Trauma ... Compartment syndrome • Myositis ... lower #extremity #msk
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
50%): Pleurisy / effusion ... of hip (rare), Arthritis ... lesions Abdominal pain ... Glomerulonephritis Myositis ... symptoms #diagnosis #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
left shoulder pain ... showed effusion ... effusion. ... #clinical #ultrasound ... #MSK
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 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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 SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Non-autoimmune rheumatologic ... Lungs: • Pleural effusions ... : • Joint pain ... arthropathy • 90% joints ... • Transverse Myelitis
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... not possible • Ultrasound ... management #treatment #rheumatology
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