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diagnosis differential pain physicalexam workup approach causes clinical orthopedics sacroiliac sports video autoimmune comparison degenerative disease distraction effusions extremity gaenslens
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
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 #
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... in Rheumatoid arthritis ... affects the knee hip ... Comparison #Versus #MSK ... JointPain #Diagnosis #pathophysiology
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
• Arthritis ... joints • Decr ... • Sacroiliac Joint ... Trendelenburg #Gait #pathophysiology ... signs #diagnosis #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
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 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
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 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 #
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... spondylitis - Sacroiliac joint ... of the affected joint ... : HIV test, a rubella ... • Sacroiliac joint
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Framework Bone/Joint ... Herpes zoster - HIV ... onset - Intense joint ... Inability to move the joint ... lower #extremity #msk
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Fever/Chills/Joint ... bearing after injury ... Brucellosis - Viruses: HIV ... injuries - Meniscal injury ... differential #diagnosis #msk
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