37 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... Disease: • Pain ... #Pain #MSK #rheumatology ... #differential #diagnosis
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... - Differential Diagnosis ... Algorithm Monoarticular ... #Differential #Diagnosis ... #Algorithm #Orthopedics
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... disease (COPD) ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
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
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... • Charcot Joint ... Chondromalacia - Joint ... Osgood-Schlatter Disease ... • Charcot Joint
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Algorithm Radioactive ... Graves disease – ... Key teaching point ... workup choices AND management ... #Algorithm #Workup
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... System Tender points ... Extrarticular #conditions #joint ... #differential #diagnosis ... #rheumatology
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... - Differential Diagnosis ... Algorithm - ... Peripheral Vascular Disease ... . fractured long
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
and Management ... adrenoleukodystrophy, check point ... or metastatic disease ... 60-90%), Muscle/joint ... , check point inhibitors
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