17 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... ): • Septic joint ... • WBC >20k: Septic ... #Joint #Pain #MSK
Reactive Arthritis
 • Inflammation of joints (commonly large joints)
    - Asymmetric Oligoarthritis: Joint
Reactive Arthritis ... pain in a few joints ... Inflammation of tendons ... Enthesitis: Commonly Achilles ... pathophysiology #diagnosis
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Diagnosis Algorithm ... Pain • Viral ... Infectious #JointPain #MSK
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... • Ischemic optic ... Musculoskeletal System Tender ... #pain #differential ... #diagnosis #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis ... left shoulder pain ... Tender on top of ... Diagnosis? ... septic arthritis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Adjacent bursa • Tendon ... #Pain #MSK #rheumatology ... #differential #diagnosis
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... - Differential Diagnosis ... Bursa • Aseptic ... e.g„ Myofascial Pain ... Intraarticular #MSK
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS)

Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... Care Ultrasound (POCUS ... presented with R calf pain ... Complete #Tear #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Poikilothermia • Septic ... - Fever/chills ... differential #diagnosis ... lower #extremity #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... in Rheumatoid arthritis ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis