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diagnosis differential approach pain workup algorithm bone bursa causes clinical deformity degenerative greater inflammatory injection jointdisease jointpain limp pathophysiology procedure
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
warm, swollen, tender ... Number of Joints ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Adjacent bursa • Tendon ... • Inflammatory arthritis ... e.g., congenital hip ... slipped capital femoral ... #Pain #MSK #rheumatology
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Joint • Hip Dysplasia ... Slipped Capital Femoral ... Patella (e.g., Tendon ... Deformity #Limp #MSK ... Diagnosis #Algorithm #Orthopedics
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... tend to bear the ... affects the knee hip ... #Degenerative #Comparison ... #Versus #MSK #JointDisease
Greater Trochanteric Bursa Injection Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... joint. ... video #procedure #rheumatology ... #sports #msk #orthopedics ... #hip
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