Medicine Cases for Residents: 88 Diagnoses Inspired by UpToDate
This episode explores cervical subluxation in rheumatoid arthritis (RA), a critical complication involving partial vertebral dislocation due to RA-related joint destruction, as detailed in the comprehensive UpToDate article. It covers the epidemiology, risk factors, pathogenesis of joint and neurogenic injury, and clinical manifestations, from neck pain to severe neurologic deficits like myelopathy. Residents will learn about diagnostic imaging, including CT and MRI, and management approaches, such as surgical stabilization and preoperative care. The podcast occasionally concludes subtopics with “if you can’t remember everything, remember this” to highlight key takeaways. Essential listening for residents managing RA patients with neck complications.
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