32 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... Diagnosis: r/o ... 1) 2+ flares/year ... #diagnosis #management ... treatment #ULT #rheumatology
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check out ... movement Typical management ... Pt pain free X 36 ... Video #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... Crystal induced (Gout ... - Autoimmune Rheumatologic ... #Differential #Diagnosis ... #MSK #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... and Management ... swelling, significant pain ... #diagnosis #management ... #treatment #rheumatology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
in the lunate ("tea ... sit in lunate "tea ... : Pain control, ... Radiology #XRay #Diagnosis ... #Sports #MSK
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... Fever/Chills/Joint pain ... Effusions: - Gout ... - Pseudo gout ... #msk #physicalexam
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint Pain ... Nodules • RA • Gout ... Tophi - Gout ... #differential #diagnosis ... #rheumatology
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
be made, rule out ... absent: lower back pain ... Raise Test - Pain ... inguinal ligament (near ... MeralgiaParesthetica #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Arthritis • Gout ... #differential #diagnosis ... lower #extremity #msk ... #physicalexam
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
and Management ... Pulmonary: dyspnea ... acute sarcoidosis Pulmonary ... anterior/posterior MSK ... #Management #Signs