29 results
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
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 ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... approach #workup #differential
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Hyperparathyroidism • Facial ... Inflammation of ear ... #pain #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
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... in Rheumatoid arthritis ... tend to bear the ... Comparison #Versus #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... Differential Diagnosis ... peripheral vs axial ... Joint #pain #Differential ... #Diagnosis #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
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
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Framework Bone/Joint ... Hepatitis • Hematoma ... differential #diagnosis ... lower #extremity #msk
McMurray's Test for Meniscal Tear on Knee Examination

The McMurray's test evaluates for meniscal tear.
With the patient
McMurray's Test ... joint line and ... palpating the lateral joint ... Pain, catching, ... clinical #video #msk