40 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... attaches to the dorsal ... tendon) • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... joint preventing ... BunnelLittler #Test ... PhysicalExam #clinical #video ... #msk #PIP
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Elevated ESR, Normal ... muscle weakness • Normal ... CK, Detectable HIV ... Myopathies #myopathy #differential ... diagnosis #comparison #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Diagnosis and Management ... Direct antiglobulin test ... hemosiderin • PT/aPTT normal ... #Diagnosis #Management ... #Algorithm #hematology
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... AST): • US - Normal ... PSC, Alcoholic Hep ... Algorithm #diagnosis #hepatology
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
Sacroiliac Distraction Test ... #SIJoint #Joint ... #clinical #video ... #physicalexam #hip ... #msk #sports #orthopedics
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... spine, shoulders, hips ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Supine Napoleon Test for Subscapularis Tear

The patient is instructed to place his hand on his belly
Supine Napoleon Test ... (abnormal) if they ... (normal) if they ... Tear #clinical #video ... physicalexam #shoulder #msk