47 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... #differential #diagnosis
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder Pain ... - Differential Diagnosis ... Algorithm 4 tests ... for the AC joint ... #Algorithm #MSK
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
anterior sacroiliac joint ... it reproduces pain ... indicating SI Joint ... #SIJoint #Joint ... #clinical #video
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Thessaly Test for ... medial or lateral joint ... line pain, locking ... Tear #clinical #video ... #physicalexam #msk
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint hinge joint ... joint = hinge joint ... fingertip) • Exam: Pain ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
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
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 #PIP
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Pain • Viral ... rash) • Primary HIV ... Infectious #JointPain #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... ED Management: Pain ... joint, maintain ... joint • Ortho ... #Orthopedics #MSK