8 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 ... patient had a prosthetic ... #Joint #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 ... presented with R calf pain ... #Complete #Tear ... #MSK #Clinical
Complete achilles tendon rupture on POCUS

Patient with posterior ankle pain playing sports. Complete achilles tendon rupture.
Complete achilles ... posterior ankle pain ... Complete achilles ... #POCUS #Complete ... #clinical #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
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
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diminished, or tender ... vesicular eruption • Joints ... pauci-immune GN Immune Complex ... Palpable purpura, joint ... Differential #Diagnosis #Rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
swelling, significant pain ... frequent attacks • Arthritis ... extensor elbows, Achilles ... tendon, fingers ... management #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
tracts Immune Complex ... vesicular eruption - Joints ... diminished, or tender ... , testes -> pain ... differential #diagnosis #rheumatology