10 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
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
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 ... : - Reactive arthritis ... differential #diagnosis #msk
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
Images of the knee were taken as well that demonstrated no significant joint effusion.

Dr. Michael Schick
no significant joint ... effusion. ... Medicine #Clinical #MSK ... #POCUS #Knee #Normal ... #SonoStuff
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
To evaluate the hip for an effusion with POCUS begin just medial to the ASIS, in
with POCUS begin ... joint. ... Hip effusions typically ... Radiology #Ortho #POCUS ... #Pyomyositis #SonoStuff
POCUS - Pyomyositis - Transverse Axis - A collection that is not acute may not appear
to be a large joint ... effusion, but on ... was within the joint ... just outside the joint ... #Transverse #SonoStuff
POCUS - Pyomyositis - Long Axis - A collection that is not acute may not appear
to be a large joint ... effusion, but on ... was within the joint ... just outside the joint ... #Pyomyositis #SonoStuff