22 results
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 ... trauma (e.g., meniscal ... e.g., congenital hip ... #Pain #MSK #rheumatology
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... medial or lateral joint ... #Knee #Meniscal ... #Injury #Tear #clinical ... #physicalexam #msk
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 #
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
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... Myalgia • Viral Arthritis ... rash) • Primary HIV ... Infectious #JointPain #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
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... spine, shoulders, hips ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
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 ... Painless) Purulent Arthritis
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... - DDX: - Infection ... bearing after injury ... Ligamentous injuries - Meniscal ... differential #diagnosis #msk