50 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... -> Pain with motion ... affects the knee hip ... > Stiffness is short-lived
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... : • Joint • ... categories of joint ... e.g., congenital hip ... #Pain #MSK #rheumatology
FABER Maneuver: Flexion, ABduction, External Rotation 

Tips to distinguish SI joint pain from other areas of
distinguish SI joint ... : indicates SI joint ... ROM: indicates hip ... FABER #Maneuver #PhysicalExam ... #Sacroiliac #SIJoint
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
anterior sacroiliac joint ... it reproduces pain ... indicating SI Joint ... #Joint #clinical ... #hip #msk #sports
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... Diffuse muscle pain ... and/or joint aches ... myopathy) VA Joint ... diagnosis #comparison #rheumatology
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
medial or lateral joint ... line pain, locking ... clinical #video #physicalexam ... #orthopedics #sports
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Pain in Sickle ... common sites: hip ... BrighamChiefs #Bone #Joint ... diagnosis #causes #hematology
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Diagnosis Algorithm ... Pain • Viral ... rash) • Primary HIV
Medial Approach Knee Intra-articular Corticosteroid Injection 

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