33 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Like in this case ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... Finger deformity caused ... : Hyperflexion injury ... tender DIP joint ... #Orthopedics #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... For intrinsic vs joint ... capsule cause of ... joint preventing ... clinical #video #msk
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... rash) • Primary HIV ... Infectious #JointPain #MSK ... #Orthopedics #Causes
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
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... Acute or chronic infections ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Framework Bone/Joint ... onset - Intense joint ... Inability to move the joint ... lower #extremity #msk
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... stabilizes the pelvis and ... maneuver #Sacroiliac #Joint ... #Injury #SIJoint ... #physicalexam #msk
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... common sites: hip ... XR, MRI to dx and ... BrighamChiefs #Bone #Joint ... #hematology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Pain - Arthritis Differential ... weeks) Can Be Caused ... #Arthritis #Joint ... #Diagnosis #MSK