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arthritis management approach clinical differential finger flexor gout joint orthopedics physicalexam rheumatoid stenosing tendon tenosynovitis trigger workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Joint • Adjacent bursa ... present both at rest ... Acute or chronic infections ... #MSK #rheumatology ... #differential #diagnosis
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
of hands/feet, knees ... inflammatory) • joint pain ... narrowing) • Ultrasound ... exam and imaging Treatment ... corticosteroid injections
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
forefoot, ankles, knees ... swelling, significant pain ... not possible • Ultrasound ... Dual-energy CT → MSU ... #rheumatology
Trigger Finger - Stenosing flexor tendon tenosynovitis There is a change in the slip between the tendon
one shown in the video ... may have only pain ... The diagnosis is ... tenosynovitis #msk ... #orthopedics #rheumatology
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