48 results
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 ... #Joint #Pain #MSK ... #differential #diagnosis
Acute Joint Pain - Vitamin CD Mnemonic
Vascular
Infectious
Trauma - Multiple injury sites, Open Fracture, Infectious joint pain
Autoimmune
Acute Joint Pain ... pain Autoimmune ... Osteoporosis #Acute ... VitaminCD #Mnemonic #MSK ... #differential #diagnosis
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
pain, swelling, ... manifestations are ... • Non-specific Acute-phase ... pain), especially ... signs #symptoms #diagnosis
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Pain • Viral ... Articular - Acute ... Infectious #JointPain #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... mechanical forces that are ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... Diagnosis Algorithm ... Rheumatic Fever Acute ... Inflammatory #JointPain #MSK ... #Differential #Diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... the time course (acute ... MONOARTHRITIS • Acute ... asymmetric pattern Acute ... #Diagnosis #MSK
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 ... #Pain #MSK #rheumatology ... #differential #diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
• PIP joints are ... are stabilized ... fingertip) • Exam: Pain ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Immobilization) • Acute ... differential #diagnosis ... lower #extremity #msk ... #physicalexam