11 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... present both at rest ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Acromioclavicular Joint ... acromioclavicular arthritis ... Flex the shoulder ... #ACJoint #shoulder ... video #sports #msk
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
Scarf Test (Cross-Body ... acromioclavicular arthritis ... Flex the shoulder ... #ACJoint #shoulder ... video #sports #msk
Posteromedial Impingement Syndrome (POMI) on POCUS 
Postero-Medial Impingement Syndrome #POMI following ankle inversion injury - Thickening
Syndrome (POMI) on POCUS ... Imaging tip: The ... deltoid ligament should ... #Syndrome #POCUS ... #msk #ultrasound
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Diseases • Septic arthritis ... of the affected joint ... of Inflammatory Arthritis ... should be obtained ... : HIV test, a rubella
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
blood cultures should ... the preferred test ... an accessible joint ... the workup • Test ... all patients for HIV
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... axial (spine, shoulders ... , hips)? ... Parvovirus B19 • HIV ... #Diagnosis #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... in Rheumatoid arthritis ... motion (relieved by rest ... affects the knee hip ... Comparison #Versus #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
on POCUS IVDU ... with severe left shoulder ... Tender on top of shoulder ... #Effusion #POCUS ... clinical #ultrasound #MSK
Acromioclavicular (AC) Joint Separation on POCUS with overlying hematoma

40yo M presents after falling off his bicycle
Separation on POCUS ... & landing onto his ... R shoulder. ... #Separation #POCUS ... clinical #ultrasound #MSK