301 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
mycobacterial), RA, crystal ... culture, look for crystals ... that patient had ... psoriatic arthritis Crystals ... remember yellow and
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... inflammatory arthritides Crystal ... e.g., meniscal tears ... crystal deposition
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Thessaly Test for ... Knee Meniscal Tear ... The test is ... medial or lateral joint ... Meniscal #Injury #Tear
Gout: Pathogenesis and Clinical Findings
 - Conditions of rapid cell turnover: hemolysis, psoriasis, lymphoproliferative disorders
 -
: Pathogenesis and ... easily leaks into joints ... in a peripheral joint ... phagocytose the crystal ... Needle-shaped uric acid crystals
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Differential Diagnosis Algorithm ... Gout - Uric Acid Crystals ... Pyrophosphate Dihydrate Crystals ... of Lumbar Spine and ... Differential #Diagnosis #Algorithm
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... AC joint: 1. ... after cross-arm test ... Differential #Diagnosis #Algorithm
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Supraspinatus Tear ... supraspinatus muscle tear ... to 30 degrees, and ... point the thumbs ... Supraspinatus #Tear
Complete PCL Tear on Physical Exam - Posterior Drawer Test

This is what a complete PCL year
Complete PCL Tear ... Posterior Drawer Test ... A partial tear may ... evaluate cartilage and ... Posterior #Drawer #Test
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
between Inflammatory and ... nociceptors -> Pain with rest ... Blood carries heat and ... motion (relieved by rest ... tend to bear the
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... which then deposit and ... MCP, or shoulder joints ... deposition in joints ... attacks • Other joints