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Dr M Ibad
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Dr M Ibad
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#BinanceHODLerRESOLV onclusion 165 Musculoskeletal Complaint Initial rheumatic history and physical exam to determine 1. Is it articular? 2. Is it acute or chronic 3. Is inflammation present? 4. How many/which joints are involved? No Acute Nonarticular condition Consider ā Trauma/fracture ā Fibromyalgia ā Polymyalgia rheumatica ā Bursitis ā Tendinitis Consider ā Acute arthritis ā Infectious arthritis ā Gout ā Pseudogout ā Reactive arthritis ā Initial presentation of chronic arthritis Is inflammation present? 1. Is there prolonged morning stiffness? 2. Is there soft tissue swelling? 3. Are there systemic symptoms? 4. Is the ESR or CRP elevated? Chronic noninflammatory arthritis Chronic inflammatory arthritis How many joints involved? Chronic inflammatory polyarthritis Is involvement symmetric? Are PIP, MCP, or MTP joints involved? Consider ā Psoriatic arthritis ā Reactive arthritis Unlikely to be osteoarthritis Consider ā Osteonecrosis ā Charcot arthritis Chronic inflammatory mono/oligoarthritis Consider ā Indolent infection ā Psoriatic arthritis ā Reactive arthritis ā Pauciarticular JA Unlikely to be rheumatoid arthritis Consider ā SLE ā Scleroderma ā Polymyositis Osteoarthritis Are DIP, CMC1, hip or knee joints involved? Rheumatoid arthritis 1-3 >3 No No No Yes Yes Yes No No Is it articular? Chronic Is complaint > 6 wk?
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$BNB a
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#broccoli Broccoli Coin (BROCCOLI) is a memecoin launched on the Binance Smart Chain (BSC), inspired by a viral post from Changpeng Zhao (CZ), the former CEO of Binance, revealing the name of his pet dog, Broccoli. This token has quickly become a symbol of the whimsical side of the crypto market, thriving on community engagement, memes, and the inherent fun of the crypto space . Key Facts About Broccoli Coin
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