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diagnosis causes clinical pain pocus rheumatology algorithm approach effusion effusions jointpain orthopedics pathophysiology physicalexam septic workup ac acromioclavicular analysis bone
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Lyme), reactive arthritis ... OA *Always do arthrocentesis ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #differential
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
• Arthritis ... joints • Decr ... • Sacroiliac Joint ... Valgus position of knee ... signs #diagnosis #msk
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
- Differential ... Fever/Chills/Joint ... Brucellosis - Viruses: HIV ... Effusions #causes #differential ... #diagnosis #msk
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Polyarticular Join ... rash) • Primary HIV ... Infectious #JointPain #MSK
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Knee Effusions - ... Arthrocentesis ... Inflammatory arthritis ... analysis: • MSU ... diagnosis #septic #joint
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Deformity / Limp - Differential ... Joint • Hip Dysplasia ... Legg-Calve-Perthes Disease Knee ... Deformity #Limp #MSK ... #Differential #
Ultrasound guided arthrocentesis (knee) with a resident. Same principles apply for all ultrasound guided procedures.
arthrocentesis ... (knee) with a resident ... on the needle tip ... #Arthrocentesis ... #MSK
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 Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... in Rheumatoid arthritis ... commonly affects the knee ... hip and L/C-spine ... Comparison #Versus #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... spine, shoulders, hips ... Parvovirus B19 • HIV ... Joint #pain #Differential ... #Diagnosis #MSK
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