22 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 #
Lateral Knee Intra-articular Corticosteroid Injection 

Lateral knee IA steroid injection. Hint - the fat pads below
Intra-articular Corticosteroid ... medial and lateral joint ... clinical #video #physicalexam ... #procedure #msk ... orthopedics #sports #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
after > 1 hr • Blood ... mechanical forces that are ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Medial Knee Intra-articular Corticosteroid Injection 

Injection of medial knee with intra-articular steroid. Find the inferior part
Intra-articular Corticosteroid ... pads if present are ... clinical #video #physicalexam ... #procedure #msk ... orthopedics #sports #rheumatology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Aseptic necrosis of hip ... in small joints ... Glomerulonephritis Myositis(5%) Blood ... signs #symptoms #diagnosis ... #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... spine, shoulders, hips ... - Autoimmune Rheumatologic ... #Differential #Diagnosis ... #MSK #rheumatology
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 ... #differential #diagnosis
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
: • 2 sets of blood ... an accessible joint ... all patients for HIV ... afebrile • Acute ... oligoarthritis • Distal joints
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... Immobilization) • Acute ... lower #extremity #msk ... #physicalexam
Sweet Syndrome

Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
Sweet Syndrome Acute ... inflammation of the joints ... and pain of the joints ... neutrophils in the blood ... Treatment: - Systemic corticosteroids