5 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... present both at rest ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
joins the bones ... diagnosed? ... tendon, MRI or ... ultrasound imaging ... Orthopedics #Wrist #msk
Vasculitis - Differential Diagnosis Framework

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

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
vesicular eruption - Joints ... - GI tract: abdominal ... diminished, or tender ... retinopathy Lab Tests ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... elbows, Achilles tendon ... not possible • Ultrasound ... management #treatment #rheumatology