10 results
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
Adjacent bursa • Tendon ... -60 minutes or longer ... e.g., congenital hip ... #Joint #Pain #MSK ... #rheumatology #
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... injection lasts longer ... Injection #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... get bacterial seeding ... - parvovirus, HIV ... #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 ... #Stenosing #flexor ... #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 ... Cryoglobulins • HIV ... differential #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diminished, or tender ... of shoulder and hip ... purpura, joint & gut ... episcleritis as well as inner ... Differential #Diagnosis #Rheumatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
RP-ILD), dermato-rheumatologic ... weakness + atrophy- Hip ... , finger flexors ... • Nonerosive arthritis ... Myositis #Myopathy #rheumatology