10 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... tenderness - No joint deformity ... to bacterial, fungal ... #Joint #Pain #MSK ... #rheumatology #
Trigger Finger (Stenosing Tenosynovitis) on Hand Examination

Dr. Francisco Lara Pulido @trauma_modern

#Trigger #Finger #Stenosing #Tenosynovitis #Hand #clinical
Trigger Finger ( ... ) on Hand Examination ... #Hand #clinical ... #physicalexam #msk ... #orthopedics #rheumatology
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
in the Hands ... The fingers may ... a boutonniére deformity ... #Arthritis #Hands ... #Types #Rheumatology
Stenosing Flexor Tenosynovitis or Trigger Finger.
The middle finger is blocked in flexion and the effort /
Stenosing Flexor ... blocked in flexion and ... #Stenosing #flexor ... tenosynovitis #msk ... #orthopedics #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Mycobacterial • Fungal ... tuberculosis) • Fungi ... Differential #Diagnosis #MSK ... #rheumatology #
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Lyme), reactive arthritis ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... Diagnosis: • Direct fungal ... A. flavus, A. niger ... Meningitis, septic arthritis ... scalp, vagina, fingers
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
Trigger Finger - ... Stenosing flexor ... #Stenosing #flexor ... tenosynovitis #msk ... #orthopedics #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
ankles, knees, fingers ... frequent attacks • Arthritis ... Achilles tendon, fingers ... Dual-energy CT → MSU ... management #treatment #rheumatology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
affecting salivary and ... system: small-fiber ... phenomenon (16%) MSK ... Arthritis Malignancy ... Sjogrens #Syndrome #Rheumatology