1348 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... 3) Number of Joints ... Number of Joints ... Inflammatory, crystalline ... #Joint #Pain #MSK
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... • Septic • Crystalline ... Lumbar Spine and SI Joints ... @AmyChung #Joint ... #Disorders #msk
Joint Pain - Differential Diagnosis
Articular: Infectious, Degenerative, Inflammatory
Non-articular: Localized, General

#Joint #Pain #Differential #Diagnosis #MSK #algorithm
Joint Pain - Differential ... Localized, General #Joint ... Differential #Diagnosis #MSK
Gout: Pathogenesis and Clinical Findings
 - Conditions of rapid cell turnover: hemolysis, psoriasis, lymphoproliferative disorders
 -
easily leaks into joints ... -> Uric acid crystallizes ... in a peripheral joint ... Neutrophils enter joint ... degradative enzymes into joint
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
Inflammatory: crystalline ... Arthrocentesis #Joint
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Pathogenesis and Joint ... poly-articular joint ... affecting the small joints ... Joint involvement ... space decr joint
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
thought of as a joint ... the MCP & PIP joints ... affects the DIP joints ... #inflammation #joint ... #msk #arthritis
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... Swelling stimulates joint ... • Moving the joint ... Comparison #Versus #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Interphalangeal Joint ... Interphalangeal joint ... • PIP joints are ... hinge joint; ROM ... #Orthopedics #MSK
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
= definite RA Joint ... 2-10 large joints ... , +/- large joints ... points >10 joints ... least 1 small joint