19 results
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
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... - Septic Arthritis ... Brucellosis - Viruses: HIV ... differential #diagnosis #msk ... #physicalexam
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 ... joint preventing ... #PhysicalExam # ... clinical #video #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
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Acromioclavicular Joint ... acromioclavicular joint ... Acromioclavicular #Joint ... #PhysicalExam # ... video #sports #msk
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
anterior sacroiliac joint ... indicating SI Joint ... #SIJoint #Joint ... clinical #video #physicalexam ... #hip #msk #sports
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
on POCUS IVDU ... Scan over AC joint ... AC joint septic ... #Effusion #POCUS ... clinical #ultrasound #MSK
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
Acromioclavicular Joint ... acromioclavicular joint ... Acromioclavicular #Joint ... #PhysicalExam # ... video #sports #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... suggested by warmth, effusion ... spine, shoulders, hips ... Joint #pain #Differential ... #Diagnosis #MSK
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... effusion • Laboratory ... the workup • Test ... all patients for HIV