Ashley Strobel
丁香诊所 美国马里兰大学
丁香诊所全科培训课程 04:关节炎的诊断及治疗

丁香诊所全科培训课程 04:关节炎的诊断及治疗
  • 关节炎
  • 腕管综合征
  • 肌腱炎
  • 关节疾病
  • 风湿性关节炎

关节炎是全世界最常见的慢性疾病,可以是周围的神经、肌腱、滑膜、骨病变,从而导致关节疼痛,干扰关节的正常运动。一位 54 岁女性,行政职员,主诉右腕关节疼痛、手指麻木一周并加重,无发热无红肿,无创伤史。服扑热息痛后疼痛无缓解。体检发现腕关节屈伸活动时有轻微疼痛。正中神经、桡神经、尺神经功能正常。尺侧掌面 3 个手指感觉减退,Phalen 征(屈腕试验)阳性,Tinel 征(神经叩击试验)阳性,根据病史信息,该病人的诊断是什么?应该给予什么治疗方案?是否需要手术治疗?类似的关节病变的临床思维是什么?

美国马里兰大学急诊和儿科医学 Dr.Ashley Strobel 通过病例分析讲解《关节炎》,以关节病变为主诉,讲解一系列关节相关疾病及鉴别诊断,着重讲解了腕管综合症、屈肌腱炎、夏科氏关节病、类风湿性关节炎及骨关节炎的诊断及治疗。

本期丁香诊所「全科医生强化培训班」共 96 期,骨科相关课程还包括以下内容:

丁香诊所全科培训课程 01:常见骨折 全科医生巧应对

丁香诊所全科培训课程 02:手外伤处理方法大盘点

丁香诊所全科培训课程 03:运动损伤处理要点

丁香诊所全科培训课程 04:关节炎的诊断及治疗

更多精彩内容请点击此处观看丁香公开课全部课程

封面图片来源:shutterstock 网站

Ashley Strobel

丁香诊所 美国马里兰大学

Ashley M. Strobel, 美国马里兰大学急诊和儿科医学讲师。MD, University of Maryland Upper Chesapeake Health


Postgraduate Education and Training:
2010‒2015 Combined Emergency Medicine and Pediatrics Residency
University of Maryland Medical Center
Baltimore, Maryland

2014-2015 Chief Resident
Combined Emergency Medicine and Pediatrics Residency

Education:
2006‒2010 Doctor of Medicine (magna cum laude)
St. George’s University School of Medicine
Grenada, West Indies

2001‒2005 Bachelor of Science (majors: Spanish and Biology)
University of Wisconsin-Madison
Madison, Wisconsin


Foreign Language: Fluent in Spanish

Certifications:
March 28, 2014 Neonatal Resuscitation Program
August 13, 2014 Pediatric Advanced Life Support
September 3, 2014 Basic Life Support
July 17, 2015 Advanced Cardiac Life Support
April 22, 2010 ECFMG Certification


Medical Licensures:
2015 Maryland (active)
2015 Minnesota (pending)

Clinical Employment History:
2015 – present Assistant Professor, Department of Emergency Medicine
Director of Pediatric Emergency Medical Education
Hennepin County Medical Center and University of Minnesota Masonic Children’s Hospital
Minneapolis, MN

2015- present Pediatric Emergency Medicine Physician
University of Maryland Upper Chesapeake Health
Bel Air, MD


Other Employment History
April 2010‒present Interviewer and Representative, Interview Committee,
St. George’s University


Professional Memberships:
2010‒2015 Emergency Medicine Residents Association (EMRA)
2010-2015 American College of Emergency Physicians (ACEP)
2010-2015 American Academy of Pediatrics (AAP)
2010-2015 American Academy of Emergency Medicine (AAEM)
2013‒2015 American Medical Society for Sports Medicine (AMSSM)

Honors and Awards:
2015 University of Maryland Department of Pediatrics, Carol Carraccio Service Award
2010 Gold Humanism Honor Society, St. George’s University
2010 Magna Cum Laude, St. George’s University
2007‒2010 Iota Epsilon Alpha Honors Society, St. George’s University

Institutional Service:
2014-2015 EM-Pediatrics Residency Curriculum Development
March 2014 ED Optimization QI Project, Cannon Design, University of Maryland Medical Center
September 2011 Medical Team, Baltimore Grand Prix, with Dr. Benjamin Lawner and Dr. Wade Gaasch

National Service:
2015-2016 Chair, Pediatric Emergency Medicine Division, Emergency Medicine Residents Association
2014‒2015 Pediatric Section Editor, EMResident
2013‒2015 Vice Chair, Pediatric Emergency Medicine Division, Emergency Medicine Residents Association

Teaching Service:
Invited Lectures
July 8, 2015「High Yield Pediatric Orthopedic Emergencies」, University of
Maryland Emergency Medicine Pediatrics Grand Rounds [CME].

Lectures:
January 2012「From the Rock to Charm City,」IEA Honors Society Lecture, St. George’s University, Grenada, West Indies
February 2013「Neonatal Seizures Secondary to Transient Hypoparathyroidism: A Review of Neonatal Seizure,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
March 2013 Instructor, EMT-1 Cadaver Airway Course, Community College of Baltimore Country, Baltimore MD
June 2013「Pediatric Electrocardiograms: The Math and the Mystery,」Junior Lecture, Emergency Medicine Residency, Pediatric Emergencies Conference, University of Maryland Medical Center
July 2013 Instructor, Emergency Medicine Student Cadaver Lab, University of Maryland School of Medicine, Baltimore, MD
March 2014「Here’s Looking at You, Kid: Pediatric Ophthalmologic Emergencies」Senior Lecture Conference, Emergency Medicine Residency, University of Maryland Medical Center
May 2014「Anaphylaxis: Pediatric versus Adult,」Division of Pediatric Allergy and Immunology Elective, University of Maryland Medical Center
September 2014「Hematuria: A Case of Adenovirus Cystitis,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
October 2014「Fever and Abdominal Pain Presenting as Right Tibial Osteomyelitis: A Review of Osteomyelitis,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
February 2015「Picking out a Cardiac Infant in the ED: MISSION IMPOSSIBLE?」Senior Presentation, Department of Emergency Medicine, University of Maryland Medical Center

Simulation Education Sessions, Instructor, Pediatric Residency:
May 2013 Pediatric Supraventricular Tachycardia
July 2014 Pediatric Lumbar Puncture and Intraosseous Access Skills
July 2014 Laceration, Bite, and Abscess I&D Skills
August 2014 Pediatric Respiratory Distress: Part I
August 2014 Pediatric Respiratory Distress: Part II
August 2014 Intravenous Access and Phlebotomy Skills
August 2014 Laceration Repair and Abscess I&D Skills
January 2015 Airway, Laceration, and LP Refresher Skills Lab
January 2015 Pediatric Supraventricular Tachycardia
February 2015 Pediatric Septic Shock
February 2015 Pediatric Nursing Intravenous Access and Phlebotomy Skills

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