11 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 ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #
Lateral Epicondylitis Corticosteroid Injection

Lateral epicondylitis injection. Easy. Find point of maximal tenderness on palpating and should
extension of the wrist ... Epicondylitis #elbow ... physicalexam #procedure #msk ... #orthopedics #sports ... #rheumatology
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... - Differential ... Marfan's Syndrome ... #JointPain #MSK ... Diagnosis #Algorithm #Orthopedics
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... osteopetrosis, avascular ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
thickening, distal to elbows ... /wrists and knees ... Musculoskeletal: joint ... myositis overlap • Vascular ... symptoms #testing #workup
Roos' Test for Thoracic Outlet Syndrome

Roos' Test - abduct the shoulders to 90 degrees, flex the
Outlet Syndrome ... Roos' Test - ... degrees, flex the elbows ... clinical #video #vascular ... #msk #orthopedics
Roos' Test for Thoracic Outlet Syndrome

To perform the Roos' Test abduct the shoulders to 90 degrees,
Roos' Test for Thoracic ... Outlet Syndrome ... degrees, flex the elbows ... clinical #video #vascular ... #msk #orthopedics
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... sex • Metabolic syndrome ... knees, fingers, wrist ... , elbow • Nocturnal ... management #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... and bullous or vesicular ... eruption - Joints ... retinopathy Lab Tests ... #diagnosis #rheumatology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
nerve injury (25%) TEST ... hip and ankle joints ... WORK UP: obtain ... /orthopedic consult ... Posterior #Injury #msk