51 results
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis (RA ... diseases features • RA ... pain, swelling, ... wrists, metacarpal-phalangeals ... pain), especially
Rheumatoid arthritis (RA): X-ray features
 • Soft tissue swelling (best seen by comparing left & right
Rheumatoid arthritis (RA ... tissue swelling (best ... together) • Joint ... Best visualized ... RheumatoidArthritis #RA
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 ... mycobacterial), RA ... • Chronic = RA ... #Joint #Pain #MSK
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder Pain ... Diagnosis Algorithm 4 tests ... for the AC joint ... after cross-arm test ... Chronic #Shoulder #Pain
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... present both at rest ... improves quickly with rest ... rheumatoid arthritis (RA
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Pain Eyes ... Heberden's nodes (DIP joints ... Bouchard's nodes (PIP joints ... #pain #differential
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... with rest • Overnight ... painful swelling -> Pain ... -> Pain with motion ... (relieved by rest
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Thessaly Test for ... Meniscal Tear The test ... medial or lateral joint ... line pain, locking ... #Thessaly #Test
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... Pain Rash ... gangrenosum • IBD • RA ... #dermatology #joint ... #pain #skin #rashes
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
of the affected joint ... rheumatoid arthritis (RA ... • Sacroiliac joint ... , and low back pain ... features suggest RA