41 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... categories of joint ... e.g., congenital hip ... #Pain #MSK #rheumatology
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
and PIP joints, ... • XRAY: joint-space ... joints ... 5% of times Joint ... hand #diagnosis #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
Rheumatoid Arthritis ... Rheumatoid Arthritis ... thought of as a joint ... #inflammation #joint ... #msk #arthritis
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Heberden's nodes (DIP ... nodes (PIP joints ... Extrarticular #conditions #joint ... differential #diagnosis #rheumatology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... joint hinge joint ... joint = hinge joint ... Hyperextension injury ... #Orthopedics #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... in Rheumatoid arthritis ... affects the knee hip ... Comparison #Versus #MSK
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
anterior sacroiliac joint ... indicating SI Joint ... injury dysfunction ... #SIJoint #Joint ... #physicalexam #hip
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Thessaly Test for ... medial or lateral joint ... #Thessaly #Test ... Knee #Meniscal #Injury ... #physicalexam #msk
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... : Hyperflexion injury ... joint, maintain ... joint • Ortho ... #Orthopedics #MSK