5 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... Adjacent bursa • Tendon ... e.g., meniscal tears ... #Joint #Pain #MSK ... #differential #diagnosis
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 ... warm, swollen, tender ... for cell count, culture ... #Joint #Pain #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... weight-bearing joints tend ... to bear the brunt ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... Syndrome: - Ocular inflammatory ... well as inner ear ... diminished, or tender ... retinopathy Lab Tests
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
leads to an acute inflammatory ... frequent attacks • Arthritis ... elbows, Achilles tendon ... not possible • Ultrasound ... 2 attacks in a year