13 results
Reactive Arthritis
 • Inflammation of joints (commonly large joints)
    - Asymmetric Oligoarthritis: Joint
Reactive Arthritis ... pain in a few joints ... Effusions • Inflammation ... of tendons -> Enthesitis ... : Commonly Achilles
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 ... #differential #diagnosis
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
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... Fever/Chills/Joint ... pain/Night sweats ... #differential #diagnosis ... #msk #physicalexam
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... pain / swelling ... effusions, reduced ... intra-articular corticosteroid ... #Rheumatoid #Arthritis
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
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
left shoulder pain ... Tender on top of ... Diagnosis? ... #Effusion #POCUS ... clinical #ultrasound #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... Differential Diagnosis ... suggested by warmth, effusion ... Joint #pain #Differential ... #Diagnosis #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
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Bone/Joint Causes ... - Fever/chills ... differential #diagnosis ... lower #extremity #msk