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rheumatology management differential signs joint ankle approach arteritis clinical cold druginduced gca giantcell impingement lupus monoarthritis monoarticular neuritis oligoarthritis oligoarticular
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
Trigonum) Syndrome - MSK ... Case description ... findings and torn ligament ... flexion but no symptoms ... #msk
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint Pain ... • Tendon • Ligament ... or nerve root Symptoms ... #MSK #rheumatology ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Diagnosis Framework ... constitutional symptoms ... weeks) Can Be Caused ... #Diagnosis #MSK ... #rheumatology #
Cold Urticaria Prevalence - 0.05% in the population Disease onset - Mostly 2nd to 4th decades of life Causes
decades of life Causes ... and duration of symptoms ... , abdominal pain ... #rheumatology # ... comparison #table
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism In contrast to the
life-threatening causes ... such as MI or aortic ... #Pericarditis #Symptoms ... #Presentation #comparison ... #Table #Diagnosis
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 Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... Self-limiting, chronic but stable ... , cough, chest pain ... Extrapulmonary: ankle arthritis ... anterior/posterior MSK
Optic Neuritis - Diagnosis and Management • Epidemiology: Female (75%), 18-50 years, caucasian • Symptoms: Moderate visual
Optic Neuritis - Diagnosis ... caucasian • Symptoms ... Moderate orbital pain ... R-G or B-Y • MRI ... #ophthalmology
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
claudication: pain ... chews, not just pain ... required +/- prompt ophthalmology ... absence of visual symptoms ... Temporal #Signs #Symptoms
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
Constitutional symptoms ... , Arthritis, myalgia ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #management
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Presentation: Systemic Symptoms ... • Progressive symptoms ... oligoclonal bands • MRI ... tract, and often causes ... #Rheumatology
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