34 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Like in this case ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... are stabilized by ... fingertip) • Exam: Pain ... #Orthopedics #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
the time course (acute ... spine, shoulders, hips ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
pain, swelling, ... manifestations are ... • Non-specific Acute-phase ... pain), especially ... esp carpal, MCP, PIP
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Arthritis: • Acute ... e.g., congenital hip ... #Pain #MSK #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... 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
Framework Bone/Joint ... Herpes zoster - HIV ... Immobilization) • Acute ... lower #extremity #msk ... #physicalexam
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination

This 57 yo WM reported to clinic complaining of
he reported no pain ... using a cotton tip ... scleritis, which came ... ophthalmology #physicalexam ... #rheumatology #
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
applies downward and ... it reproduces pain ... indicating SI Joint ... clinical #video #physicalexam ... #hip #msk #sports
Piriformis Test

The Piriformis test evaluates for pain from sciatic nerve irritation caused by the piriformis muscle.
With
evaluates for pain ... to 90 degrees and ... the hips are internally ... #PhysicalExam # ... video #sports #msk