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diagnosis differential causes jointpain rheumatology approach management workup ac acromioclavicular bone clinical deformity degenerative dislocation effusion gout hand infectious inflammatory
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
• PIP joints are ... and PIP joints ... fingertip) • Exam: Pain ... Discharge with orthopedic ... #MSK
Chronic Joint Pain - Differential Diagnosis Algorithm Intra-Articular - Bone • Stress
Chronic Joint Pain ... Differential Diagnosis Algorithm ... Rupture • ... Intraarticular #MSK ... #Orthopedics #Causes
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Joint • Hip Dysplasia ... Patella (e.g., Tendon ... Rupture, Dislocation ... Deformity #Limp #MSK ... #Orthopedics #Causes
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Pain • Viral ... Infectious #JointPain #MSK ... #Orthopedics #Causes
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... rheumatic fever • Chronic ... warm, swollen, tender ... - parvovirus, HIV ... #Joint #Pain #MSK
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... Adjacent bursa • Tendon ... : • Acute or chronic ... e.g., congenital hip ... #Pain #MSK #rheumatology
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
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
on POCUS IVDU ... left shoulder pain ... Tender on top of ... Culture MRSA. ... clinical #ultrasound #MSK
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... swelling, significant pain ... frequent attacks • Arthritis ... elbows, Achilles tendon
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