62 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder Pain ... - Differential ... for the AC joint ... #Differential # ... Diagnosis #Algorithm #MSK
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
positive if there is medial ... or lateral joint ... line pain, locking ... #Injury #Tear #clinical ... #physicalexam #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... • Differentiate ... BrighamChiefs #Bone #Joint ... #Disease #differential ... diagnosis #causes #hematology
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... Pain Rash ... #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
Pain History ... present both at rest ... improves quickly with rest ... #Pain #MSK #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 ... Corticosteroid #Injection #clinical ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... peripheral vs axial ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... Diffuse muscle pain ... and/or joint aches ... Myopathies #myopathy #differential ... diagnosis #comparison #rheumatology
Pes Anserine Bursitis - MSK Radiology
Imaging Findings:
 • T2-hyperintense fluid-like signal along the medial aspect of
Anserine Bursitis - MSK ... the level of the joint ... 2-cm below the joint ... Differential diagnosis ... similar location of pain