638 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... with rheumatoid arthritis ... other inflammatory arthritides ... oxalate Infectious Arthritis
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... Lyme), reactive arthritis ... SLE, psoriatic arthritis ... differential #diagnosis #arthritis
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Oligoarticular (1-4 joints ... POLYARTICULAR (>4 joints ... • Rheumatoid Arthritis ... • Psoriatic Arthritis
Rheumatoid arthritis (RA): X-ray features
 • Soft tissue swelling (best seen by comparing left & right
Rheumatoid arthritis ... together) • Joint ... closer to the joints ... (Joint deformities ... HandXray #Diagnosis #Radiology
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Common Forms of Arthritis ... Acute Rheumatoid Arthritis ... in rheumatoid arthritis ... Chronic Rheumatoid Arthritis ... #Arthritis #Hands
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
Rheumatoid Arthritis ... = definite RA Joint ... 2-10 large joints ... , +/- large joints ... #Rheumatoid #Arthritis
Hand Arthritides - Differential Diagnosis by Location and Features

The Painful Hand!  Wish I would’ve thought
Hand Arthritides ... keeping the various arthritides ... drcyncity #Hand #Arthritides ... #Arthritis #Differential ... Location #MSK #Radiology
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... the PIP and MCP joints ... but not the DIP joints ... 3rd MCP and PIP joints ... 5% of times Joint
Osborn wave (J wave) in Hypothermia - Positive deflection at the J point

Height of the J
deflection at the J point ... hypothermia #Clinical #Cardiology ... #ECG #EKG #Osborn
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... Pathogenesis and Joint ... poly-articular joint ... Joint involvement ... space decr joint