13 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential ... #diagnosis #arthritis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... , erythema and WBC ... axial (spine, shoulders ... Joint #pain #Differential ... #Diagnosis #MSK
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... • This case should ... Differential diagnosis ... #msk #rheumatology
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
acromioclavicular arthritis ... Flex the shoulder ... #PhysicalExam #clinical ... #video #sports ... #msk #orthopedics
Posterior Glenohumeral Joint Shoulder Injection 

Glenohumeral joint injection from posterior approach is easily learned. I do
Shoulder Injection ... reduced arc / impingement ... #procedure #clinical ... #video #rheumatology ... #msk #orthopedics
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
with severe left shoulder ... Diagnosis? ... WBC/CRP/ESR elevated ... Effusion #POCUS #clinical ... #ultrasound #MSK
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
acromioclavicular arthritis ... Flex the shoulder ... #PhysicalExam #clinical ... #video #sports ... #msk #orthopedics
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... should be obtained ... (to support a diagnosis ... ANA and RF (if clinical ... #testing #Rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... permanent alopecia Differential ... : • Joint pain ... arthropathy • 90% joints ... #Rheumatology