11 results
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
Test (Gaenslen's maneuver ... stabilizes the pelvis ... applies passive hip ... Injury #SIJoint #hip ... #physicalexam #msk
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... pseudogout • Trauma ... Herpes zoster - HIV ... #Leg #pain #differential ... lower #extremity #msk
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... integrity: - Trauma ... ITP - APLS - HIT ... • Abdominal ultrasound ... Petechiae #Rash #Differential
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Postpartum Hemorrhage - Differential ... to gather POC Trauma ... if available Maneuvers ... compression (using ultrasound ... Postpartum #Hemorrhage #Differential
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... • Head or ear trauma ... ○ MS, CVA • ... zoster virus ○ HIV ... Hearing #Loss #Differential
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Previous joint trauma ... e.g., congenital hip ... #Joint #Pain #MSK ... approach #workup #differential
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... spine, shoulders, hips ... Noninflammatory • Trauma ... #Joint #pain #Differential ... #Diagnosis #MSK
Hemoperitoneum from ruptured spleen - Pelvic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents with syncope.
ruptured spleen - Pelvic ... tripped over dog and hit ... Hemoperitoneum #clinical #ultrasound ... #pocus #trauma ... #Pelvic
Hemoperitoneum and Hemothorax from ruptured spleen - Perihepatic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents
tripped over dog and hit ... perihepatic and pelvic ... Outlines uterus on pelvic ... with significant trauma ... Hemothorax #clinical #ultrasound