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diagnosis rheumatology msk algorithm approach causes electrocardiogram equivalents headache jointpain stemi conditions dangerous deadly disease emergency erythematosus extrarticular fatal inflammatory
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
: • Acute or chronic ... trauma (e.g., meniscal ... alterations (e.g ... #approach #workup ... #differential #
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Pain - Differential ... • Reactive (e.g ... Enteropathic (e.g ... Rheumatic Fever Acute ... Enteropathic (e.g
Vascular Joint Pain - Differential Diagnosis Algorithm - Constant Pain (Ischemia) - Acute Onset -
Vascular Joint Pain ... (Ischemia) - Acute ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g
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 ... #Joint #Pain #MSK ... rheumatology #approach #workup ... #differential #
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Pain Eyes ... syndrome - SLE Neurologic ... disease, Vasculitis (e.g ... #pain #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... deviation) • Acute ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... women • DDx: Acute ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Screening Tests for Acute ... inflammatory disease (e.g ... Chemistry profile (e.g ... , and low back pain
13 Dangerous Causes of Headache: - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
at home or at work ... ) - acute angle ... temporal (giant cell) arteritis ... dissection: unilateral pain ... thrombophilia, neurologic
Emergent Causes of Headache and Associated Risk Factors Carbon monoxide poisoning - Breathing in enclosed or confined
carbon monoxide (eg ... living conditions (eg ... immunization Temporal arteritis ... vascular diseases (eg ... with or without trauma
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