11 results
Stenosing Flexor Tenosynovitis or Trigger Finger.
The middle finger is blocked in flexion and the effort /
Stenosing Flexor ... and the effort / pain ... #tendon #tenosynovitis ... #msk #clinical ... #orthopedics #rheumatology
Trigger Finger on Physical Exam

This is called the "trigger finger" or tendonitis of the finger flexors.
flexors. ... easily in and out ... with rheumatoid arthritis ... #clinical #video ... #rheumatology
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Tender, painful ... The fingers may ... Chronic Tophaceous Gout ... chronic tophaceous gout ... #Types #Rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint Pain ... History: Is the pain ... Adjacent bursa • Tendon ... -60 minutes or longer ... #MSK #rheumatology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
onset of swelling, pain ... forefoot, ankles, knees ... , fingers, wrist ... swelling, significant pain ... #Comparison #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... warm, swollen, tender ... get bacterial seeding ... #Joint #Pain #MSK ... #rheumatology #
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
Stenosing flexor ... one shown in the video ... may have only pain ... #msk #clinical ... #orthopedics #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
forefoot, ankles, knees ... , fingers, wrist ... frequent attacks • Arthritis ... elbows, Achilles tendon ... management #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
episcleritis as well as inner ... diminished, or tender ... Vessels: Supply gut ... , testes -> pain ... differential #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diminished, or tender ... tract: Abdominal pain ... purpura, joint & gut ... involvement, abdominal pain ... Differential #Diagnosis #Rheumatology