17: Approach To Joint Complaint Flashcards
1
Q
Two top causes of life-threatening joint pain
A
- Septic arthritis
2. Referred pain (MI, intraperitoneal hemorrhage, lung pathology)
2
Q
Clonus
A
Rhythmic oscillations between flexion and extension
3
Q
Five Steps in “Thinking like a Doctor”
A
- Develop a broad DDx
- Narrow the DDx
- Develop a working DDx
- Pursue the working DDx
- Assessment and Plan
4
Q
VINDICATE pneumonic for a systemic approach to forming DDx
A
Vascular Inflammatory Neoplastic Degenerative Idiopathic/intoxication Congenital Autoimmune/allergy Traumatic Endocrine
5
Q
How to narrow down a DDx
A
Using HPI, PMHx, PSHx, SHx, FHx, ROS, PE
6
Q
Working DDx
A
Common common or most likely Dx + life threatening DDxs
7
Q
Pursuing a working DDx
A
Using therapeutic interventions and confirmatory/exclusionary diagnostic testing
