25 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint hinge joint ... joint = hinge joint ... Hyperextension injury ... Radiology #XRay #Diagnosis ... #Orthopedics #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
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 ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... Injury The patient ... maneuver #Sacroiliac #Joint ... #Injury #SIJoint ... #physicalexam #msk
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... - Differential Diagnosis ... Polyarticular Join ... rash) • Primary HIV ... Infectious #JointPain #MSK
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... the workup • Test ... all patients for HIV ... oligoarthritis • Distal joints
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

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