13 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... -60 minutes or longer ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... motion (relieved by rest ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... with joint-space ... mass and NO prior signs ... Giant Cell Tumor Tendon ... #msk #rheumatology
Flexor Tenosynovitis on POCUS

Which of the following diagnoses does this clip best support?
Resolution: flexor tenosynovitis (majority
the following diagnoses ... does this clip best ... around the flexor tendon ... Tenosynovitis #POCUS #MSK ... #clinical #ultrasound
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... ankles, knees, fingers ... elbows, Achilles tendon ... not possible • Ultrasound ... management #treatment #rheumatology
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
The diagnosis is ... complemented with ultrasound ... Ultrasound can show ... tenosynovitis #msk ... #orthopedics #rheumatology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
is a skin prick test ... Giant retinal tears ... • Nonsurgical abdominal ... #management #signs ... #symptoms #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
vesicular eruption - Joints ... purpura: strong sign ... diminished, or tender ... retinopathy Lab Tests ... #rheumatology #
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Findings in or Near ... , swollen, and tender ... Abnormal #Pathology #Diagnosis ... #Clinical #Signs ... GrepMed Recommended Text
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... diminished, or tender ... vesicular eruption • Joints ... Palpable purpura, joint ... #Rheumatology