71 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
or pseudogout, OA ... • Non-bloody: OA ... gonorrhea, Lyme, OA ... #Joint #Pain #MSK ... rheumatology #approach #workup
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Differential Diagnosis Algorithm ... of Lumbar Spine and ... Osteoarthritis (OA ... #Disorders #msk ... Differential #Diagnosis #Algorithm
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... AC joint: 1. ... after cross-arm test ... #MSK
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Key teaching point ... Check pregnancy test ... affects diagnostic workup ... #Workup #Endocrinology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
between Inflammatory and ... nociceptors -> Pain with rest ... Blood carries heat and ... motion (relieved by rest ... Comparison #Versus #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... and with motion ... improves quickly with rest ... #Pain #MSK #rheumatology ... #approach #workup
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Drop Arm Test - ... The drop arm test ... to 30 degrees, and ... point the thumbs ... video #sports #msk
Algorithm for Investigation of Abnormal Coagulation Tests
- Prolonged PT
- Prolonged aPTT and Prolonged PT
- Prolonged aPTT

Dr.
Algorithm for Investigation ... Abnormal Coagulation Tests ... Prolonged aPTT and ... DrEricStrong #Algorithm ... Hematology #Diagnosis #Workup
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Test on Physical ... unaffected side and ... to do with both hands ... BunnelLittler #Test ... clinical #video #msk
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... spondylitis - Sacroiliac joint ... of the affected joint ... • Sacroiliac joint ... Arthritis #laboratory #workup