16 results
Reactive Arthritis
 • Inflammation of joints (commonly large joints)
    - Asymmetric Oligoarthritis: Joint
Reactive Arthritis ... pain in a few joints ... Inflammation of tendons ... Enthesitis: Commonly Achilles ... dysuria, pelvic pain
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 ... patient had a prosthetic ... Worry about late prosthetic ... #Joint #Pain #MSK
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 ... Disease: • Pain ... #Pain #MSK #rheumatology
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
Complete achilles tendon rupture on POCUS

Patient with posterior ankle pain playing sports. Complete achilles tendon rupture.
Complete achilles ... on POCUS Patient ... posterior ankle pain ... #POCUS #Complete ... #clinical #msk
Achilles Tendon Tear on POCUS (Labeled)

A 35yo male presents with ankle pain. Achilles tendon tear is
Achilles Tendon ... Tear on POCUS (Labeled ... presents with ankle pain ... Achilles tendon ... clinical #ultrasound #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... in Rheumatoid arthritis ... tend to bear the ... Comparison #Versus #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Framework Bone/Joint ... • Fracture • Arthritis ... syndrome • Arthritis ... - Fever/chills ... lower #extremity #msk
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

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

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... pain/Night sweats ... Effusions - Septic Arthritis ... : - Reactive arthritis ... differential #diagnosis #msk