30 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
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
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
MCP Joint Injection

Injection of 2nd MCP that is swollen and subluxed and approached laterally near the
MCP Joint Injection ... superior part of joint ... Janetbirdope #MCP #Joint ... #video #rheumatology ... #hand #msk
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Corticosteroid Injection ... area to inject and ... osteophytes & narrowed joint ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
approximately an extended hand ... joint. ... video #procedure #rheumatology ... #sports #msk #orthopedics ... #hip
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
CK, Detectable HIV ... /or joint aches ... myopathy) VA Joint ... Myopathies #myopathy #differential ... diagnosis #comparison #rheumatology
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 ... diagnosis #causes #hematology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... spine, shoulders, hips ... #Arthritis #Joint ... #Diagnosis #MSK ... #rheumatology #