63 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 ... • Acute = Viral ... #Joint #Pain #MSK ... #rheumatology #
Hydromorphone use for acute pain: Misconceptions, controversies, and risks. Motov et al
https://www.ncbi.nlm.nih.gov/pubmed/29508897

Visual Abstract by David Cisewski,
use for acute pain ... pubmed/29508897 Visual ... Abstract by David ... Overview #Safety #Pharmacology ... VisualAbstract #Pain
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Disease: • Pain ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Polyarticular Join ... PainViral ... Infectious #JointPain #MSK
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... Detectable HIV viral ... Diffuse muscle pain ... and/or joint aches ... diagnosis #comparison #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... - Autoimmune Rheumatologic ... Viral Infections ... #Diagnosis #MSK ... #rheumatology #
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
medial or lateral joint ... line pain, locking ... clinical #video #physicalexam ... #msk #orthopedics
Talus Fracture on POCUS
Athlete with hard landing on one foot, pain and tenderness over dorsum of
landing on one foot, pain ... dorsum of foot distal ... to tibiotalar joint ... clinical #ultrasound #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Interphalangeal Joint ... to the dorsal distal ... to the palmar distal ... fingertip) • Exam: Pain ... #Orthopedics #MSK
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
osteophytes & narrowed joint ... clinical #video #physicalexam ... #procedure #msk ... orthopedics #sports #rheumatology