14 results
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 ... Like in this case ... - parvovirus, HIV ... #Joint #Pain #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... Arthritis: • Acute ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Causes of Leg Pain ... Herpes zoster - HIV ... Immobilization) • Acute ... lower #extremity #msk ... #physicalexam
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
applies downward and ... it reproduces pain ... injury dysfunction ... clinical #video #physicalexam ... #hip #msk #sports
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... the time course (acute ... spine, shoulders, hips ... weeks) Can Be Caused ... #Diagnosis #MSK
Piriformis Test

The Piriformis test evaluates for pain from sciatic nerve irritation caused by the piriformis muscle.
With
nerve irritation caused ... to 90 degrees and ... the hips are internally ... #Hip #PhysicalExam ... video #sports #msk
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... stabilizes the pelvis and ... SIJ lesion if pain ... clinical #video #physicalexam ... #msk #orthopedics
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... pain/Night sweats ... Reactive Syndrome - Acute ... differential #diagnosis #msk ... #physicalexam
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
pressure to the point ... Syndrome • Syndrome caused ... hip fractures in ... days after an acute ... Surgical Care -
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... or diagnostic tests ... Join the resistance ... cardiac output - Acute ... peritonitis - Acute