85 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... spondyloarthropathies, lupus ... Like in this case ... #Joint #Pain #MSK ... #rheumatology #
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Thessaly Test for ... medial or lateral joint ... #Thessaly #Test ... Tear #clinical #video ... #physicalexam #msk
SLICC SLE Diagnostic Criteria - Systemic Lupus Erythematosus
Clinical and Immunologic Criteria

CLINICAL CRITERIA
 - ACUTE CUTANEOUS LUPUS
Criteria - Systemic Lupus ... INVOLVING 2 OR MORE JOINTS ... determined by Positive test ... Direct Coombs’ test ... #Diagnosis #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
Inflammatory Joint ... nociceptors -> Pain with rest ... Rheumatoid arthritis, Lupus ... motion (relieved by rest ... Comparison #Versus #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Test on Physical ... capsule cause of ... BunnelLittler #Test ... PhysicalExam #clinical #video ... #msk #PIP
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... grip weakness caused ... compensates via MP joint ... Palsy #clinical #video ... #physicalexam #msk
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Drop Arm Test - ... The drop arm test ... 30 degrees, and point ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
osteophytes & narrowed joint ... Injection #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... present both at rest ... improves quickly with rest ... #Pain #MSK #rheumatology