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differential orthopedics rheumatology workup approach pain pathophysiology algorithm bone causes comparison deformity degenerative disease dislocation femoralhead fractures hand inflammatory interphalangeal
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Tendon • Ligament ... present both at rest ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
• PIP joints are ... and PIP joints ... capsule. collateral ligaments ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... for cell count, culture ... - parvovirus, HIV ... #Joint #Pain #MSK ... #differential #diagnosis
Femoral Head Fracture: Pathogenesis and clinical findings • Posterior hip dislocation -> Impaction force from femoral
femoral head onto anterior ... shearing injury -> Ligaments ... weight-bear • Arthritic ... FemoralHead #Fractures #msk ... #diagnosis #pathophysiology
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... in Rheumatoid arthritis ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
- Differential Diagnosis ... Joint • Hip Dysplasia ... Disease Knee Joint ... (e.g., Tendon Rupture ... Deformity #Limp #MSK
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Gram stain and culture ... of the affected joint ... : HIV test, a rubella ... (to support a diagnosis ... laboratory #workup #diagnosis
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