34 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
both at rest and ... improves quickly with rest ... : • Acute or chronic ... e.g., congenital hip ... #Pain #MSK #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Chronicity: • Acute ... Like in this case ... - parvovirus, HIV ... #Joint #Pain #MSK
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
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... in Rheumatoid arthritis ... mechanical forces that are ... affects the knee hip ... Comparison #Versus #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
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... the time course (acute ... spine, shoulders, hips ... Joint #pain #Differential ... #Diagnosis #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... Hyperextension injury ... fingertip) • Exam: Pain ... #Orthopedics #MSK
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... pain, swelling, ... • Non-specific Acute-phase ... pain), especially ... esp carpal, MCP, PIP
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
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