11 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... Symptoms of Joint Disease ... categories of joint disease ... #MSK #rheumatology ... #differential #diagnosis
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... mass and NO prior signs ... diffuse chondral disease ... Giant Cell Tumor Tendon ... #msk #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Diagnosis Framework ... noninflammatory Signs ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
- Differential Diagnosis ... Algorithm Infection ... Knee Joint • ... Patella (e.g., Tendon ... Deformity #Limp #MSK
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
of hands/feet, knees ... , shoulders Signs ... inflammatory) • joint pain ... narrowing) • Ultrasound ... #rheumatology
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Approach to Joint Pain ... - Diagnostic Framework ... warm, swollen, tender ... #Joint #Pain #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... weight-bearing joints tend ... commonly affects the knee ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... purpura: strong sign ... diminished, or tender ... , testes -> pain ... #rheumatology #
Popliteal (Baker’s) Cyst: Pathogenesis and clinical findings
 • Idiopathic
 • Meniscal Lesions
 • Osteoarthritis
 • Rheumatoid
• Rheumatoid Arthritis ... intra-articular knee ... semimembranosus tendon ... pathophysiology #signs ... #symptoms #diagnosis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... diminished, or tender ... tract: Abdominal pain ... #Rheumatology