23 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Disease: • Pain ... e.g., congenital hip ... osteopetrosis, avascular ... #Pain #MSK #rheumatology ... #differential #diagnosis
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
and Management ... spread of the Gram-negative ... the preferred test ... the workup • Test ... all patients for HIV
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... ), RA, crystal disease ... - parvovirus, HIV ... #Joint #Pain #MSK ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Joint Disease ... in Rheumatoid arthritis ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... spine, shoulders, hips ... Internal derangement/Avascular ... aureus • Gram-negative ... #Diagnosis #MSK
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
and diplopia) • Vascular ... Positive pathergy test ... is a skin prick test ... ) Differential Diagnosis ... #diagnosis #management
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... Fever/Chills/Joint ... Seronegative Reactive Syndrome ... #differential #diagnosis ... #msk #physicalexam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Legg-Calve-Perthes disease ... - Lyme disease ... lower #extremity #msk ... #physicalexam
Behcet's Syndrome - Diagnosis
Diagnostic Criteria for Behget's Syndrome (International Study Group for Behget's Disease):
 • Recurrent,
- Diagnosis Diagnostic ... Abnormal pathergy test ... vasculitis) • Arthritis ... , medium-large joints ... #disease #Diagnosis
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
- Differential Diagnosis ... JointHip Dysplasia ... Knee Joint • ... Patellofemoral Syndrome ... Deformity #Limp #MSK