9 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... spondyloarthropathies, lupus ... #rheumatology # ... approach #workup ... #differential #
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Medial Approach ... osteophytes & narrowed joint ... clinical #video #physicalexam ... #procedure #msk ... orthopedics #sports #rheumatology
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... lesions • Discoid lupus ... #dermatology #joint ... #skin #rashes #differential ... #diagnosis #rheumatology
Posterior Glenohumeral Joint Shoulder Injection 

Glenohumeral joint injection from posterior approach is easily learned. I do
posterior approach ... I do post GH approach ... #Injection #procedure ... clinical #video #rheumatology ... orthopedics #sports #physicalexam
Vasculitis - Differential Diagnosis Framework

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

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential ... rapidly progressing GN ... vesicular eruption - Joints ... such as systemic lupus ... #rheumatology #
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
Scleromyxedema (CNS+GI+CVS+joints ... Autoimmunity: • -MM/WM: Vasculitis ... to cold IgG • Lupus ... Paraproteinemias #Hematology ... #Monoclonal #Differential
Medial Knee Intra-articular Corticosteroid Injection 

Knee injection medial approach -lying w knee flexed. Find post part
medial approach ... to find room in joint ... clinical #video #physicalexam ... #procedure #msk ... orthopedics #sports #rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Non-autoimmune rheumatologic ... fibromyalgia) • Infections ... Arthritis: • Joint ... arthropathy • 90% joints