45 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... lower limbs) • WBC ... presentation with lower WBC ... #Joint #Pain #MSK ... #rheumatology #
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... • Pathologic ... e.g„ Myofascial Pain ... Periarticular #Intraarticular ... #MSK #Differential
Acute Joint Pain - Vitamin CD Mnemonic
Vascular
Infectious
Trauma - Multiple injury sites, Open Fracture, Infectious joint pain
Autoimmune
Acute Joint Pain ... pain Autoimmune ... pain Metabolic ... - See pathologic ... VitaminCD #Mnemonic #MSK
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
osteophytes & narrowed joint ... #Medial #Knee #Intraarticular ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Patellofemoral Syndrome - Pathogenesis and clinical findings
 • Anterior Knee Pain with possible symptoms of 'catching'
Anterior Knee Pain ... patellofemoral joint ... kneeling worsens pain ... Patellofemoral #Syndrome #pathophysiology ... signs #symptoms #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 ... Disease: • Pain ... Enthesitis: • Site of pathology ... #Pain #MSK #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... -> Pain with motion ... Comparison #Versus #MSK ... JointPain #Diagnosis #pathophysiology
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
findings Skeletal Pathology ... • Sacroiliac Joint ... Pain • Valgus ... Trendelenburg #Gait #pathophysiology ... signs #diagnosis #msk
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
fracture is an intraarticular ... • Intraarticular ... carpometacarpal joint ... ED Management: Pain ... #Orthopedics #MSK
Sickle Cell Disease - Pathophysiology of disease and complications 

Due to the deformed shape, HbS induces
Cell Disease - Pathophysiology ... shape, HbS induces RBC ... This leads to RBC ... , necrosis and pain ... Complications #Hematology