25 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Non-bloody: OA, avascular ... Like in this case ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... interphalangeal joint ... with joint-space ... Differential diagnosis ... #rheumatology
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... Diagnosis Algorithm ... Monoarticular • Gout ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Causes of Bleeding / Bruising - Differential Diagnosis Algorithm
Thrombocytopenia - Quantitative Defect
 • Decreased Production
 •
Causes of Bleeding ... / Bruising - Differential ... Diagnosis Algorithm ... Renal Disease Vascular ... #Causes #Hematology
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... away from bone/joint ... suggests gout. ... clinical #POCUS #ultrasound ... #msk #rheumatology
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... - Differential ... Diagnosis Algorithm ... #JointPain #MSK ... #Orthopedics #Causes
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Avascular necrosis ... • Differentiate ... #diagnosis #causes ... #hematology
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
FLAGS - In all cases ... splenomegaly, abnormal neurology ... cell disease Rheumatology ... discrepancy, multiple joint ... #Limping #NWB #Algorithm
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... Crystal induced (Gout ... weeks) Can Be Caused ... #Diagnosis #MSK ... #rheumatology #
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... Diagnosis Algorithm ... Family history, ultrasound ... Nephronophthisis Vascular ... #Causes