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diagnosis differential management orthopedics approach clinical flexor hand physicalexam radiology tenosynovitis vasculitis workup xray classification conditions dislocation extrarticular forms gout
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... -60 minutes or longer ... deformity Synovitis ... to bacterial, fungal ... #Pain #MSK #rheumatology
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
hinge joint; ROM ... = hinge joint; ... fingertip) • Exam: Pain ... ), mallet finger ... #Orthopedics #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
• Finger deformity ... terminal extensor tendon ... Exam: Swollen and tender ... ED Management: Pain ... #Orthopedics #MSK
Common Forms of Arthritis in the Hands Acute Rheumatoid Arthritis Tender, painful, stiff joints in rheumatoid arthritis,
Tender, painful ... becomes limited, and fingers ... The fingers may ... a boutonniére deformity ... #Types #Rheumatology
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Musculoskeletal System Tender ... regurgitation and stenosis ... #pain #differential ... #diagnosis #rheumatology
Stenosing Flexor Tenosynovitis or Trigger Finger. The middle finger is blocked in flexion and the effort /
Stenosing Flexor ... and the effort / pain ... #tendon #tenosynovitis ... #msk #clinical ... #orthopedics #rheumatology
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 Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... Lyme), reactive arthritis ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... tuberculosis) • Fungi ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Trigger Finger - Stenosing flexor tendon tenosynovitis There is a change in the slip between the tendon
Stenosing flexor ... may have only pain ... #Stenosing #flexor ... #msk #clinical ... #orthopedics #rheumatology
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... ankles, knees, fingers ... frequent attacks • Arthritis ... elbows, Achilles tendon ... management #treatment #rheumatology
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