9 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... deformity Synovitis ... to bacterial, fungal ... #Pain #MSK #rheumatology ... #approach #workup
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Medial Approach ... Knee Intra-articular ... osteophytes & narrowed joint ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

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

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Causes of Knee Effusions ... Fever/Chills/Joint ... pain/Night sweats ... Alphavirus - Fungi ... differential #diagnosis #msk
Medial Knee Intra-articular Corticosteroid Injection 

Knee injection medial approach -lying w knee flexed. Find post part
Injection Knee ... injection medial approach ... to find room in joint ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Baker's Cyst on POCUS 
63yo w p/w pain and swelling behind knee.  Probe on knee
Baker's Cyst on POCUS ... 63yo w p/w pain ... outpouching from joint ... intraarticular joint ... #clinical #msk
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... joint. ... luck with that approach ... POCUS revealed joint ... #ultrasound #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... forefoot, ankles, knees ... swelling, significant pain ... management #treatment #rheumatology