15 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Like in this case ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Join Pain • Viral ... rash) • Primary HIV ... Infectious #JointPain #MSK ... #Causes
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... capsule cause of ... joint preventing ... PhysicalExam #clinical #video ... #msk #PIP
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
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... - Differential Diagnosis ... Genitourinary Infection ... Inflammatory #JointPain #MSK ... #Causes
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
joint. ... #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics ... #hip
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Algorithm Infection ... JointHip Dysplasia ... Disease Knee Joint ... Deformity #Limp #MSK ... #Causes
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... spine, shoulders, hips ... weeks) Can Be Caused ... #Arthritis #Joint ... #MSK #rheumatology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: TB, fungal infection ... , HIV, adrenoleukodystrophy ... 60-90%), Muscle/joint ... A STIM test can ... ACTH STIM TEST:
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Framework Bone/Joint ... onset - Intense joint ... Inability to move the joint ... lower #extremity #msk