11 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 ... pathophysiology #diagnosis
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
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 ... - Fever/chills ... differential #diagnosis ... lower #extremity #msk ... #physicalexam
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
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
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 ... Diagnosis? ... clinical #ultrasound #MSK
Sweet Syndrome

Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
Rash: multiple tender ... Inflammation and pain ... of the joints ( ... Sudden onset of tender ... Treatment: - Systemic corticosteroids
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... extensor elbows, Achilles ... tendon, fingers