11 results
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... Noninflammatory • Trauma ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... gout) and great toe ... pain-MTP joint. ... No trauma. ... #MSK #Toe
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
rheumatology patient ... Florid synovitis of the ... effusion on dynamic ... Synovitis #Metacarpal #MSK ... Clinical #Joint #Effusion
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... : - Pain occurs ... Previous joint trauma ... #MSK #rheumatology
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... inflammatory) • joint pain ... nodules, joint effusions ... narrowing) • Ultrasound ... diagnosis #management #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 - Diagnostic ... neuropathy so trauma ... #Joint #Pain #MSK ... #rheumatology #
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
after surgery/trauma ... onset of swelling, pain ... locations: Wrist, MCP ... Gout: • Great toe ... Gout #Comparison #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
left shoulder pain ... Tender on top of ... #Effusion #POCUS ... #clinical #ultrasound ... #MSK
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic Arthritis ... presents with pain ... with overlying effusion ... clinical #POCUS #ultrasound ... #msk #radiology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
after surgery/trauma ... onset of swelling, pain ... locations: Wrist, MCP ... with acute neck pain ... Deposition #Disease #Rheumatology