30 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Disease: • Pain ... : - Pain occurs ... #Pain #MSK #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Lyme), reactive arthritis ... SLE, psoriatic arthritis ... #Joint #Pain #MSK ... differential #diagnosis #arthritis
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Polyarticular Join ... Pain • Viral ... Infectious #JointPain #MSK
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Pain - Differential ... Oligoarticular (1-4 joints ... POLYARTICULAR (>4 joints ... Inflammatory #JointPain #MSK
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder Pain ... tests for the AC ... joint: 1. ... Chronic #Shoulder #Pain ... Diagnosis #Algorithm #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
) Joint Septic Arthritis ... on POCUS IVDU ... left shoulder pain ... AC joint septic ... #ultrasound #MSK
Talus Fracture on POCUS
Athlete with hard landing on one foot, pain and tenderness over dorsum of
Talus Fracture on POCUS ... landing on one foot, pain ... to tibiotalar joint ... POCUS showed talus ... clinical #ultrasound #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... in Rheumatoid arthritis ... -> Pain with motion ... Comparison #Versus #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... • How many joints ... Joint #pain #Differential ... #Diagnosis #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Framework Bone/Joint ... • Fracture • Arthritis ... syndrome • Arthritis ... onset - Intense joint ... lower #extremity #msk