12 results
Bulge Sign to demonstrate a Knee Effusion on Physical Examination

Dr. Janet Pope @Janetbirdope

#Bulge #Sign #Knee #Effusion
a Knee Effusion ... #Knee #Effusion ... PhysicalExam #clinical #video ... #msk #sports #orthopedics ... #rheumatology
The Bulge Sign in Knee Effusion

Highly specific sign for knee joint effusion. 
 - Stroke the
The Bulge Sign in ... #clinical #video ... #physicalexam #msk ... #orthopedics #sports ... #rheumatology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
50%): Pleurisy / effusion ... Aseptic necrosis of hip ... erythematosus #signs ... #symptoms #diagnosis ... #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... spine, shoulders, hips ... noninflammatory Signs ... #Differential #Diagnosis ... #MSK #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
., congenital hip ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #diagnosis
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... thickening or effusion ... Nephrogenic DI Hematologic ... phenomenon (16%) MSK ... #Rheumatology #
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
Agent Orange or Hep ... Physical Exam/Signs ... • Richter’s Syndrome ... #workup #oncology ... #hematology
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
to Joint Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... and bullous or vesicular ... purpura: strong sign ... Cryoglobulins • HIV ... #rheumatology #
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... pulse deficits vascular ... of shoulder and hip ... #Rheumatology