7 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
hinge joint; ROM ... = hinge joint; ... ) • ED Management ... #Hand #Orthopedics ... #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Adjacent bursa ... • Tendon • ... • Inflammatory arthritis ... -60 minutes or longer ... #Pain #MSK #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... Lyme), reactive arthritis ... for cell count, culture ... #Joint #Pain #MSK ... #rheumatology #
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... approximately an extended hand ... well below hip joint ... video #procedure #rheumatology ... #sports #msk #orthopedics
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
on POCUS IVDU ... Tender on top of ... Culture MRSA. ... This patient had ... clinical #ultrasound #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Management Summary ... deposition in joints ... frequent attacks • Arthritis ... elbows, Achilles tendon ... #treatment #rheumatology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... muscle aches, joint ... Meningitis, septic arthritis ... scalp, vagina, fingers ... Fungal #Diagnosis #Management