63 results
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
and PIP joints, ... • XRAY: joint-space ... MCP and PIP joints ... 5% of times Joint ... #diagnosis #rheumatology
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 ... joint destruction ... - parvovirus, HIV ... #rheumatology #
Pancytopenia Framework and Differential Diagnosis

- VA Joint Chiefs @BostonChiefs

#Pancytopenia #Differential #Diagnosis #algorithm #hematology
Pancytopenia Framework and ... Diagnosis - VA Joint ... Differential #Diagnosis #algorithm ... #hematology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Degenerative joint ... Inflammatory Joint ... • Moving the joint ... affects the knee hip ... > Stiffness is short-lived
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... For intrinsic vs joint ... joint preventing ... to do with both hands ... BunnelLittler #Test #PhysicalExam
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 ... clinical #video #physicalexam ... #orthopedics #sports ... #rheumatology
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
anterior sacroiliac joint ... indicating SI Joint ... #Joint #clinical ... #video #physicalexam ... #hip #msk #sports
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
rimmed vacuoles HIV ... CK, Detectable HIV ... /or joint aches ... myopathy) VA Joint ... diagnosis #comparison #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 ... categories of joint ... e.g., congenital hip ... #Pain #MSK #rheumatology
Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior
You can ballot and ... posterior glenohumeral joint ... #glenohumeral #PhysicalExam ... #msk #sports #orthopedics