18 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #diagnosis
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... typically part of the workup ... • Test all patients ... , knees, wrists,
Radiocarpal Wrist Injection

Radiocarpal wrist injection. Often swelling is more prominent in inflammatory arthritis on radial side
in inflammatory arthritis ... Injection #clinical #video ... physicalexam #procedure #msk ... #orthopedics #sports ... #rheumatology
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Acromioclavicular Joint ... acromioclavicular arthritis ... Video via @open_michigan ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
WHAT test - Wrist Hyperflexion and Abduction of the Thumb 

The wrist is hyperflexed and the
WHAT test - Wrist ... Thumb The wrist ... PhysicalExam #clinical #video ... #sports #msk #orthopedics ... #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... in Rheumatoid arthritis ... > Stiffness is short-lived ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
Acromioclavicular Joint ... acromioclavicular arthritis ... acromioclavicular joint ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... of the affected joint ... (to support a diagnosis ... #laboratory #workup ... #diagnosis #testing
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
Tenosynovitis #clinical #video ... #physicalexam #sports ... #msk #orthopedics ... #rheumatology # ... wrist