6 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
• This case should ... Differential diagnosis ... diffuse chondral disease ... Giant Cell Tumor Tendon ... #rheumatology
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology
Imaging Findings:
 • Ovoid hypointense structures along the bursal surface
(HADD) - MSK Radiology ... specificity of tear ... Differential diagnosis ... low-signal normal tendon ... #diagnosis #msk
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diminished, or tender ... proximal muscles of shoulder ... vesicular eruption • Joints ... Palpable purpura, joint ... Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
vesicular eruption - Joints ... disease Differential ... diminished, or tender ... retinopathy Lab Tests ... #diagnosis #rheumatology