9 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... warm, swollen, tender ... #Joint #Pain #MSK ... #rheumatology #approach ... #workup #differential
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... Adjacent bursa • Tendon ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... with joint-space ... Differential diagnosis ... Giant Cell Tumor Tendon
Pes Anserine Bursitis - MSK Radiology
Imaging Findings:
 • T2-hyperintense fluid-like signal along the medial aspect of
Anserine Bursitis - MSK ... the level of the joint ... 2-cm below the joint ... Differential diagnosis ... knee #clinical #mri
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... • How many joints ... Joint #pain #Differential ... #Diagnosis #MSK
Haglund Syndrome - MSK Radiology
Imaging Findings:
 • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
Haglund Syndrome - MSK ... Differential diagnosis ... • Inflammatory Arthritis ... Heel #clinical #mri ... Radiology #diagnosis #msk
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Deformity / Limp - Differential ... • Rickets Hip Joint ... Patella (e.g., Tendon ... Deformity #Limp #MSK ... #Differential #
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis ... on POCUS IVDU ... Tender on top of ... #Effusion #POCUS ... clinical #ultrasound #MSK
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... diminished, or tender ... vesicular eruption • Joints ... oligoclonal bands • MRI ... Palpable purpura, joint