29 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
both at rest and ... improves quickly with rest ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology ... approach #workup #differential
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... positive if there is medial ... or lateral joint ... line pain, locking ... #physicalexam #msk
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Pain Eyes ... Hyperparathyroidism • Facial ... #pain #differential ... #diagnosis #rheumatology
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 - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Lyme), reactive arthritis ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... Differential Diagnosis ... 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 ... Osteomyelitis / Septic Arthritis ... • Differentiate ... #Disease #differential ... diagnosis #causes #hematology
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... positive if there is medial ... or lateral joint ... line pain, locking ... #physicalexam #msk
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... positive if there is medial ... or lateral joint ... line pain, locking ... #physicalexam #msk
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... with temporal arteritis ... Diffuse muscle pain ... Myopathies #myopathy #differential ... diagnosis #comparison #rheumatology