9 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 ... XRay #Diagnosis #Management ... #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... for cell count, culture ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
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 #workup #differential
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... Therefore, the hand ... Differential diagnosis ... Giant Cell Tumor Tendon ... #rheumatology
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
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... diminished, or tender ... vesicular eruption • Joints ... Palpable purpura, joint ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential ... vesicular eruption - Joints ... episcleritis as well as inner ... diminished, or tender ... #diagnosis #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