21 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... • WBC >20k: Septic ... - parvovirus, HIV ... #Joint #Pain #MSK
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... rash) • Primary HIV ... Fasciitis • Septic ... Infectious #JointPain #MSK
Hip Arthrocentesis on POCUS
Septic patient with hip pain, why wait for IR? 
Instead perform #POCUS guided
Hip Arthrocentesis ... on POCUS Septic ... Instead perform #POCUS ... Arthrocentesis #POCUS ... clinical #ultrasound #msk
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Framework Bone/Joint ... Herpes zoster - HIV ... Poikilothermia • Septic ... onset - Intense joint ... lower #extremity #msk
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
on POCUS IVDU ... AC joint septic ... AC joint septic ... #Effusion #POCUS ... clinical #ultrasound #MSK
Ankle Arthrocentesis on POCUS

This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
PoCUS can detect ... Absence of a joint ... effusion makes a septic ... joint unlikely. ... #ultrasound #msk
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Infection • Septic ... Osteomalacia • Rickets Hip ... JointHip Dysplasia ... Disease Knee Joint ... Deformity #Limp #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 ... Knee Effusions - Septic ... Brucellosis - Viruses: HIV ... differential #diagnosis #msk
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... the side of the table ... applies passive hip ... Injury #SIJoint #hip ... #physicalexam #msk
FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
Patrick's) Test for Hip ... to evaluate for hip ... parallel to the exam table ... or sacroiliac joint ... video #sports #msk