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approach arthritis differential pain workup comparison degenerative examination gout impingement inflammatory jointdisease jointpain management pathophysiology physicalexam rotatorcuff shoulder tendinopathy treatment
Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
acromioclavicular joint ... tendon tenderness ... (using Speed's ... (In Speed's test ... #Diagnosis #PhysicalExam
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... for cell count, culture ... #Joint #Pain #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... inflammation that seeps ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
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 ... improves quickly with rest ... #Pain #MSK #rheumatology ... #differential #diagnosis
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 ... Dual-energy CT → MSU ... management #treatment #rheumatology
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