16 results
Lachman test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
HTO) to correct his ... #ACL #Knee #Injury ... clinical #video #PhysicalExam ... Ortho #anterior #cruciate ... #ligament #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Chronicity: • Acute ... Like in this case ... • Acute = Viral ... - parvovirus, HIV ... #Joint #Pain #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... : • Acute or chronic ... e.g., congenital hip ... #Pain #MSK #rheumatology
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... the workup • Test ... all patients for HIV ... afebrile • Acute
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... in Rheumatoid arthritis ... mechanical forces that are ... affects the knee hip ... Comparison #Versus #MSK
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
Positive Varus Stress Test ... injury, we are ... complete rupture and ... Clinical #Video #PhysicalExam ... collateral #ligament #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
the time course (acute ... spine, shoulders, hips ... MONOARTHRITIS • Acute ... asymmetric pattern Acute ... #Diagnosis #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Herpes zoster - HIV ... Trauma • Crush injury ... Immobilization) • Acute ... lower #extremity #msk ... #physicalexam
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... bearing after injury ... Reactive Syndrome - Acute ... differential #diagnosis #msk ... #physicalexam
Lachman Test for ACL Injury

The patient lies supine and with the knee in ~20-30 degrees of
degrees of flexion, hip ... One hand supports ... #Cruciate #Ligament ... clinical #video #physicalexam ... #msk #orthopedics