215 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
spondyloarthropathies, lupus ... that patient had ... Like in this case ... #Joint #Pain #MSK ... #rheumatology #
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... of Lumbar Spine and ... Polyarthritis • Systemic Lupus ... with Systemic Lupus ... #Disorders #msk
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Anti-retrovirals, Gemcitabine Lupus ... /or joint aches ... uncommon 5-15% of lupus ... myopathy) VA Joint ... diagnosis #comparison #rheumatology
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Oligoarticular (1-4 joints ... Arthritis • Systemic Lupus ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
between Inflammatory and ... Blood carries heat and ... Rheumatoid arthritis, Lupus ... affects the knee hip and ... Comparison #Versus #MSK
Rachitic Rosary of Rickets on Physical Exam

Bead-like prominences of bone are seen at the costochondral joints.
costochondral joints ... lack of calcium and ... mineralization causes ... costochondral joint ... PhysicalExam #clinical #video
Dupuytren's Contracture (Palmar Fibromatosis) on Physical Exam

#Dupuytrens #Contracture #Palmar #Fibromatosis #clinical #video #physicalexam #msk #hand #orthopedics
Fibromatosis #clinical #video ... #physicalexam #msk ... #hand #orthopedics ... #rheumatology
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Systemic Lupus Erythematosus ... SLE) - Diagnosis and ... Management Summary ... Positive in 60-80% of cases ... #Summary #rheumatology
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
area to inject and ... osteophytes & narrowed joint ... Injection #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... fracture • ED Management ... XRay #Diagnosis #Management ... #Hand #Orthopedics ... #MSK