22 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
WBC <2k: Noninflammatory ... lower limbs) • WBC ... spondyloarthropathies • WBC ... presentation with lower WBC ... #Joint #Pain #MSK
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
- Differential Diagnosis ... “Bamboo Spine” Fusion ... arthritis - (Reiter’s syndrome ... #Disorders #msk ... #Differential #
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
50%): Pleurisy / effusion ... , Restrictive lung ... phenomenon (20%) Joints ... Demyelinating syndromes ... symptoms #diagnosis #rheumatology
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
Systemic Sclerosis ... pericarditis • Hepatic: PBC ... (interstitial lung ... Musculoskeletal: joint ... Scleroderma #SSc #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... , erythema and WBC ... with few WBCs ( ... #Diagnosis #MSK ... #rheumatology #
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis on POCUS ... WBC/CRP/ESR elevated ... Arthrocentesis-64K WBC ... #POCUS #clinical ... #ultrasound #MSK
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential ... Fever/Chills/Joint ... Infection - Systemic ... #causes #differential ... #diagnosis #msk
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
point (hard to ... Respiratory Distress Syndrome ... submassive PE) POCUS ... #pulmonary #differential ... #POCUS #ultrasound
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... • Interstitial lung ... • Shrinking lung ... #pain #differential ... #diagnosis #rheumatology
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
great toe pain-MTP joint ... POCUS revealed joint ... MTP joint. ... WBC-48K. ... #ultrasound #MSK