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Approach to Patient with Unexplained Joint Pain
Joint pain can be caused by a variety of factors, ranging from common to rare, unpleasant to life-threatening. Even the most minor causes of joint discomfort can result in severe disability. A complete history and physical exam are required when evaluating a patient with joint pain (typically focusing on extra-articular symptoms), as well as the examination of joint fluid, serologies, and radiologic testing. The differential diagnosis of joint pain can be framed using three key questions. First, is the joint discomfort limited to a single joint or does it affect numerous joints? If the pain is only in one joint, the next question is whether it is monoarticular or extraarticular. Although the distinction may appear evident, changes in periarticular tissues can mimic articular illness. Finally, are the affected joints inflamed or not? Further down the spectrum, the sharpness of the pain may be significant.
About the Speaker
Dr. Rachit Gulati
Medical Director, Recoup Health, Bengaluru
Dr. Rachit Gulati, Medical Director, Recoup Health, Bengaluru
Upcoming Case Discussions
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.
Rising Cardiac Arrests in Young Entrepreneurs
The increasing cases of cardiac arrests among young entrepreneurs are becoming a serious health concern. Intense stress, long working hours, unhealthy eating habits, and lack of physical activity are major contributors to heart-related issues in this group. This often leads to neglecting personal health, resulting in irregular sleep patterns and chronic fatigue. Additionally, skipping regular medical check-ups can leave underlying heart conditions undetected. Emphasizing stress management, healthy lifestyle choices, and routine health screenings is crucial to reducing this growing risk
Medical Management of Endometriosis
Medical management of endometriosis typically involves the use of hormonal therapies such as birth control pills, progestins, or GnRH agonists to reduce estrogen levels and suppress the growth of endometrial tissue. Pain management with NSAIDs, as well as targeted treatments like aromatase inhibitors or the use of intrauterine devices (IUDs), can help alleviate symptoms. In some cases, additional treatments like surgery may be considered for severe cases or when fertility is a concern.
Analytical Skills in Problem Solving
Today’s session on analytical tools and techniques in healthcare can provide valuable insights into how data-driven approaches enhance decision-making and problem-solving. Sharing personal or professional experiences where analytical skills were effectively used to address challenges can offer practical understanding and inspire learners. These skills are crucial in healthcare for accurate patient diagnosis, effective treatment planning, and efficient resource allocation. By applying analytical methods, healthcare professionals can improve patient outcomes, streamline operations, and make informed, evidence-based decisions that contribute to overall healthcare efficiency and quality.
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Dr. Rachit Gulati's Talks on Assimilate
- 03rd -Oct -2024, TIME : 5:00PM TO 6:00 PM
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Joint pain can be caused by a variety of factors, ranging from common to rare, unpleasant to life-threatening. Even the most minor causes of joint discomfort can result in severe disability. A complete history and physical exam are required when evaluating a patient with joint pain (typically focusing on extra-articular symptoms), as well as the examination of joint fluid, serologies, and radiologic testing. The differential diagnosis of joint pain can be framed using three key questions. First, is the joint discomfort limited to a single joint or does it affect numerous joints? If the pain is only in one joint, the next question is whether it is monoarticular or extraarticular. Although the distinction may appear evident, changes in periarticular tissues can mimic articular illness. Finally, are the affected joints inflamed or not? Further down the spectrum, the sharpness of the pain may be significant.