9 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 ... #Joint #Pain #MSK ... #rheumatology # ... #differential #
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... : Pain control, ... MH/CCF/CWRU EM ... #Hand #Orthopedics ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... tendon) • ED Management ... MH/CCF/CWRU EM ... XRay #Diagnosis #Management ... #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
radial-ulnar joint ... onto outstretched hand ... : Pain control ... MH/CCF/CWRU EM ... #Orthopedics #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
olecranon fracture, distal ... radioulnar joint ... : Pain control ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
claudication, visual ... vesicular eruption • Joints ... Palpable purpura, joint ... and GN Anti-GBM ... #Diagnosis #Rheumatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Syndrome: Fever, joint ... pain and Raynaud ... • ANA < 20 % IBM ... #differential #