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Information

Differential Diagnosis of Musculoskeletal Disorders

At risk: IV drug abuse, HIV, sickle cell disease, diabetes, peripheral vascular disease, immunocompromised, cancer, alcoholism, organ transplants

  1. Cellulitis
    = acute infection of dermis + SQ tissue
    • pain, erythema, edema, warmth

    CT:
    • skin thickening
    • septation of SQ fat
    • thickening of underlying superficial fascia

    Dx: clinical assessment
    DDx: heart failure
  2. Necrotizing fasciitis
  3. Soft-tissue abscess
    • Cause: methicillin-resistant S. aureus (MRSA, 51%)
    • well-demarcated fluid collection with peripheral pseudo-capsule showing rim enhancement
    • DDx: cellulitis, fasciitis (no rim enhancement)
  4. Infectious myositis
  5. Osteomyelitis
  6. Septic arthritis
  7. Septic bursitis