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clinical physicalexam orthopedics sports test diagnosis knee differential procedure injection sacroiliac hand tear management shoulder corticosteroid injury intraarticular lumbar meniscal
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
• PIP joints are ... and PIP joints ... joint hinge joint ... fingertip) • Exam: Pain ... #Orthopedics #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... ED Management: Pain ... joint, maintain ... joint • Ortho ... #Orthopedics #MSK
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
Pathology of the Hip ... joints • Decr ... • Sacroiliac Joint ... Pain • Valgus ... signs #diagnosis #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 ... e.g., congenital hip ... #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 ... affects the knee hip ... Comparison #Versus #MSK
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
Rheumatica • Pain ... CK, Detectable HIV ... Diffuse muscle pain ... and/or joint aches ... diagnosis #comparison #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
spine, shoulders, hips ... - Autoimmune Rheumatologic ... Parvovirus B19 • HIV ... #Diagnosis #MSK ... #rheumatology #
Greater Trochanteric Bursa Injection Usually roll patient on side, find the most tender spot, approximately an
length below the pelvic ... joint. ... Injection #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics
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 Pace Maneuver for Piriformis Syndrome With the patient's hips and needs flexed to 90 degrees, the patient
the patient's hips ... positive if there is pain ... Syndrome #clinical #video ... #physicalexam #hip ... lumbar #sciatica #msk
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