72 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Like in this case ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Generally affects long ... BrighamChiefs #Bone #Joint ... #differential #diagnosis ... #causes #hematology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
adrenoleukodystrophy, check point ... anorexia, abdominal pain ... 60-90%), Muscle/joint ... pain (10-40%), ... diseases, check point
Acute Joint Pain - Vitamin CD Mnemonic
Vascular
Infectious
Trauma - Multiple injury sites, Open Fracture, Infectious joint pain
Autoimmune
Acute Joint Pain ... Fracture, Infectious joint ... See inflammatory joint ... #differential #diagnosis ... #Causes
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
inflammatory) • joint ... pain / swelling ... • synovitis; joint ... tenderness • joint ... #management #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... : • Joint • ... categories of joint ... #Pain #MSK #rheumatology ... #differential #diagnosis
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... • Charcot Joint ... Chondromalacia - Joint ... • Charcot Joint ... #Orthopedics #Causes
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
interphalangeal joint ... (Degenerative Joint ... Joint involvement ... #Hands #Types #Rheumatology ... #Forms #Diagnosis
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... and/or joint aches ... myopathy) VA Joint ... #differential #diagnosis ... #comparison #rheumatology
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... Pain Rash ... #dermatology #joint ... #differential #diagnosis ... #rheumatology