THE WRITTEN EMERGENCY MEDICINE FELLOWSHIP COURSE
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MODULE 15.

Another easier week this week. Rheumatology is one of those topics that tends to scare ED doctors, but really there's not too much to go hard at. Make sure you understand gout, pseudo gout and septic arthritis. Make sure you can interpret joint fluid analysis. Have a bit of a look at the general patterns of arthritis and vasculitis, because it's good to understand these. Otherwise use the extra time to catch up, because we've been going pretty hard so far.

watch. 

A couple of videos  to have a look at this week.

We have rheumatology PEARLS from the Mayo clinic - it's a bit internal medicine, but quite a comprehensive overview of major rheumatology topics. Skip through as you need.

We also have a video from the Stanford University as an overview of vasculitis. Again, a bit long, but a good overview. 

READ

The article below is a nice overview of joint fluid analysis. Pay attention to the table, because joint fluid is a popular prop in the exam! There's also a review of the diagnosis of vasculitis below.
Picture
Picture

solve.

One of the photo prompts that comes up in the exam occasionally is some sort of rash. Often the photos are fairly non specific and relate to a vasculitic or autoimmune type picture. 

Below are two descriptions of rashes from the actual exam.

1. A 25 year old man presents to the emergency department with a three day history of spreading rash and painful oral lesions.

2.  This 24 year old female presented to the emergency department complaining of painful lumps and redness confined to her lower legs which had developed over the last two weeks.

For each description write down your differential diagnosis, and 3 possible causes.

Click here for more information!

write.

No homework for this module.

Take me to the questions!

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