40 results
Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
acromioclavicular joint ... tendon tenderness (using ... Speed's test), ... Pain in the anterior ... #PhysicalExam #RotatorCuff
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... -> Pain with motion ... (relieved by rest ... affects the knee hip
Infraspinatus scapular rotation test - Patient has pain when externally rotates shoulder against resistance (with elbow
scapular rotation test ... - Patient has pain ... Infraspinatus #RotatorCuff ... #Test #ALiEM
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... present both at rest ... mainly or only during ... improves quickly with rest ... e.g., congenital hip
Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion
Labral tear - Crank Test ... into glenohumeral joint ... #Labral #Tear #RotatorCuff ... #Test #Crank #ALiEM
Jobe's Test ("Empty Can" Test) 1. Position arm in scapular plane and point thumb down as
Jobe's Test ("Empty ... Can" Test) 1. ... scapular plane and point ... Supraspinatus #RotatorCuff ... #Jobe #ALiEM
The following graph was prepared based on the latest information on Testing for the Diagnosis of
the Diagnosis of HIV ... , don’t bother doing ... At day 10, the HIV ... PCR can detect HIV ... infection to a point
Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended,
tear - O'Brien Test ... Point thumb down ... #Labral #Tear #RotatorCuff ... #Test #OBrien # ... ALiEM
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... • How many joints ... spine, shoulders, hips ... taking a shower and moving ... Parvovirus B19 • HIV
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
fungal infection, HIV ... 60-90%), Muscle/joint ... pain (10-40%), ... A STIM test can ... ACTH STIM TEST: