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Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tender DIP joint ... : Pain control, ... Finger #Radiology #XRay ... #Hand #Orthopedics ... #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... fingertip) • Exam: Pain ... IPJoint #Radiology #XRay ... #Hand #Orthopedics ... #MSK
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... commonly affects the knee ... hip and L/C-spine ... #Degenerative #Comparison ... #Versus #MSK #JointDisease
Causes of Bone/Joint Pain in Sickle Cell Disease Vaso-occlusive pain: • Mechanism: ischemic pain • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... common sites: hip ... XR, MRI to dx and ... • Differentiate
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
Rheumatica • Pain ... and/or joint aches ... Myopathies #myopathy #differential ... #diagnosis #comparison ... #rheumatology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
knees, shoulders ... pain / swelling ... marker Imaging: • XRay ... Arthritis #diagnosis #management ... #rheumatology
ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
carpometacarpal joint ... : Pain control, ... Metacarpal #Radiology #XRay ... #Hand #Orthopedics ... #MSK
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... onto outstretched hand ... : Simple, pain control ... Posterior #Radiology #XRay ... #MSK
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... : Is the pain from ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
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