16 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
alterations (e.g ... subchondral bone (e.g ... derangements (e.g ... #Pain #MSK #rheumatology ... #differential #diagnosis
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
interphalangeal joint ... with joint-space ... appearance, usually joint ... #diagnosis #msk ... #rheumatology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... after) the J point ... Winter syndrome - J-point ... #Equivalents #ECG ... #EKG #diagnosis
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g ... Vascular #JointPain #MSK
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
glenohumeral ligament/joint ... outside of the joint ... the defective joint ... Avulsion of the joint ... #diagnosis #msk
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... infarct STEMI - J point ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Widening of the MTP joint ... for secondary signs ... Unstable 2nd MTP joint ... foot #clinical #mri ... #diagnosis #msk
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
disorder of bone, joint ... bone • Bone and joint ... skeleton-sacroiliac joint ... - MRI: inflammation ... antiinflammatory properties e.g
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Short QT <300-360 ms ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... disease, Vasculitis (e.g ... Extrarticular #conditions #joint ... #differential #diagnosis ... #rheumatology