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pocus causes clinical differential lung management rheumatology signs syndrome assessment chesttube complex covid19 drains effusions extraarticular gout haglund heel knee
Haglund Syndrome - MSK Radiology Imaging Findings: • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
Haglund Syndrome - MSK ... Partial undersurface tear ... Differential diagnosis ... • Stress fracture ... #msk
Malignant Complex Pleural Effusion on Lung POCUS You are starting your RUSH exam on febrile/hypotensive patient with
Pleural Effusion ... Diagnosis? ... pleural effusion ... #POCUS #Pulmonary ... #Ultrasound
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 Causes of Orthopnea - Differential Diagnosis Framework • Fear and Anxiety • Pleural Effusion • Ascites
- Differential Diagnosis ... Framework • Fear ... and Anxiety • Pleural ... Effusion • Ascites ... CNS lesion: ALS, MS
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 ... Systemic disease - Malignancy ... Intra-articulation fracture ... #msk #physicalexam
COVID-19 Findings on Lung ultrasound - Thickened pleural line - B lines (multifocal, discrete, or confluent)
Findings on Lung ultrasound ... effusion is rare ... patients with pulmonary ... COVID19 #Lung #ultrasound ... #POCUS #Diagnosis
Sternal fracture on POCUS. 60 year old PT, fell on her chest 4 days ago, tender
POCUS. 60 year ... chest 4 days ago, tender ... of pericardial effusion ... Clinical #POCUS #ultrasound ... #msk #trauma
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 Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
infiltration damages tear ... effusion on CXR ... RA inflammation tends ... interstitial lung disease/pulmonary ... signs #symptoms #diagnosis
Assessment of Chest Tube Drains Stepwise assessment of Chest Tube Function TUBE POSITIONING • Look at the CXR:
is within the pleura ... transducing the pleural ... pneumothorax • 24-28 Fr tension ... being on water sear ... ChestTube #Drains #Diagnosis
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Xerotrachea • NSIP: Pleural ... thickening or effusion ... phenomenon (16%) MSK ... and Arthritis Malignancy ... Symptomatic: artificial tears
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
extensor elbows, Achilles ... tendon, fingers ... not possible • Ultrasound ... Dual-energy CT → MSU ... 2 attacks in a year
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