15 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... get bacterial seeding ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... commonly affects the knee ... hip and L/C-spine ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... Acute or chronic infections ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... Fever/Chills/Joint ... pain/Night sweats ... - DDX: - Infection ... #msk #physicalexam
FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
foot on the other knee ... Pressure on the knee ... brim may elicit pain ... joint. ... #sports #msk #orthopedics
FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
foot on the other knee ... brim may elicit pain ... joint. ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
foot on the other knee ... brim may elicit pain ... joint. ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
foot on the other knee ... brim may elicit pain ... joint. ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... spine, shoulders, hips ... Parvovirus B19 • HIV ... #Diagnosis #MSK ... #rheumatology #
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... of the table, knee ... SIJ lesion if pain ... sacroiliitis #clinical #video ... #physicalexam #msk