22 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Lyme), reactive arthritis ... SLE, psoriatic arthritis ... #rheumatology # ... approach #workup #differential ... #diagnosis #arthritis
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Bacterial or viral infection ... Heberden's nodes (DIP joints ... #pain #differential ... #diagnosis #rheumatology
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Corticosteroid Injection ... osteophytes & narrowed joint ... #clinical #video ... 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 ... parvovirus B19 infection ... #joint #pain #skin ... #rashes #differential ... #diagnosis #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... Acute or chronic infections ... #Pain #MSK #rheumatology ... approach #workup #differential
Radiocarpal Wrist Injection

Radiocarpal wrist injection. Often swelling is more prominent in inflammatory arthritis on radial side
Radiocarpal Wrist Injection ... in inflammatory arthritis ... #clinical #video ... procedure #msk #orthopedics ... #sports #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
the most tender spot ... well below hip joint ... #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... - Autoimmune Rheumatologic ... Joint #pain #Differential ... Diagnosis #MSK #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... Osteomyelitis / Septic Arthritis ... • Differentiate ... diagnosis #causes #hematology
Lateral Knee Intra-articular Corticosteroid Injection 

Lateral knee IA steroid injection. Hint - the fat pads below
Corticosteroid Injection ... medial and lateral joint ... #clinical #video ... procedure #msk #orthopedics ... #sports #rheumatology