6 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... warm, swollen, tender ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Stenosing Flexor Tenosynovitis or Trigger Finger.
The middle finger is blocked in flexion and the effort /
blocked in flexion and ... #tendon #tenosynovitis ... #msk #clinical ... #physicalexam #orthopedics ... #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... Adjacent bursa • Tendon ... -60 minutes or longer ... #Pain #MSK #rheumatology ... #approach #workup
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
with that approach ... POCUS revealed joint ... Gram stain neg (culture ... MSU crystals=Gout ... #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 ... ankles, knees, fingers ... elbows, Achilles tendon ... management #treatment #rheumatology
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
Stenosing flexor ... #Stenosing #flexor ... #msk #clinical ... #physicalexam #orthopedics ... #rheumatology