11 results
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
CK, Detectable HIV ... ) VA Joint Chiefs ... #differential # ... diagnosis #comparison ... #rheumatology
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Medial Approach ... osteophytes & narrowed joint ... Injection #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
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 ... #Joint #Pain #MSK ... #rheumatology # ... #differential #
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... common sites: hip ... • XR, MRI to ... #diagnosis #causes ... #hematology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... interphalangeal joint ... with joint-space ... Differential diagnosis ... #msk #rheumatology
Medial Knee Intra-articular Corticosteroid Injection 

Knee injection medial approach -lying w knee flexed. Find post part
injection medial approach ... to find room in joint ... Injection #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential # ... diagnosis #arthritis
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential ... Diagnosis Framework ... Fever/Chills/Joint ... Effusions: - Hematologic ... #diagnosis #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Diagnosis Framework ... spine, shoulders, hips ... #Diagnosis #MSK ... #rheumatology #
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
of shoulder and hip ... vesicular eruption • Joints ... oligoclonal bands • MRI ... Palpable purpura, joint ... #Diagnosis #Rheumatology