49 results
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Freiberg's Test ... for Piriformis Syndrome ... #Piriformis #syndrome ... clinical #video #physicalexam ... #msk #sports #orthopedics
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... The test is positive ... Pace #Maneuver #Test ... clinical #video #physicalexam ... lumbar #sciatica #msk
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
→ Refer to hematology ... for workup, including ... Rebound effect from treatment ... Inflammatory Conditions: Rheumatologic ... Kawasaki, Nephrotic syndrome
Systemic Lupus Erythematosus - Summary
Antinuclear (ANA) - 95% - Initial screening test
Anti-dsDNA - 50%
 • Associated
Initial screening test ... block • Sjogren syndrome ... polymyositis overlap syndrome ... severe disease Treatment ... Summary #diagnosis #rheumatology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... “dropping head syndrome ... Bedside: ice pack test ... /Edrophonium test ... immunologic assay - MuSK
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
pathognomonic laboratory tests ... Positive pathergy test ... is a skin prick test ... Arthritis, AS Treatment ... signs #symptoms #rheumatology
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
with response to treatment ... specific laboratory tests ... IgG4+ cells" Treatment ... management #phenotypes #workup ... #treatment #rheumatology
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination

This 57 yo WM reported to clinic complaining of
patient was sent to rheumatology ... further systemic workup ... and treatment. ... ophthalmology #physicalexam ... #rheumatology #
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation Syndrome ... Periodic fever syndromes ... Liver function tests ... Treatment: • Corticosteroids ... #Rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup