31 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
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
4 tests for the ... AC joint: 1. ... Cross-arm shoulder ... test 4. ... #MSK
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... Differential Diagnosis Algorithm ... Osteoarthritis (OA ... #Disorders #msk ... Differential #Diagnosis #Algorithm
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Drop Arm Test - ... Tear The drop arm ... test evaluates ... 30 degrees, and point ... video #sports #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
nociceptors -> Pain with rest ... and looks red -> Warm ... mechanical forces that are ... 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
Approach to Joint ... present both at rest ... improves quickly with rest ... #Pain #MSK #rheumatology ... #approach #workup
Hypereosinophilia Different Diagnosis and Workup
Secondary causes are broad so start with a med review, the most
Diagnosis and Workup ... Secondary causes are ... - VA Joint Chiefs ... Different #Diagnosis #Workup ... #algorithm
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... of the affected joint ... antibodies, which are ... • Sacroiliac joint ... Arthritis #laboratory #workup
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... typically part of the workup ... • Test all patients ... Most patients are