40 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
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Pain • Viral ... Articular - Acute ... Infectious #JointPain #MSK
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
phenomenon (20%) Joints ... Aseptic necrosis of hip ... in small joints ... lesions Abdominal pain ... symptoms #diagnosis #rheumatology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Framework Bone/Joint ... Herpes zoster - HIV ... Immobilization) • Acute ... onset - Intense joint ... lower #extremity #msk
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
joint. ... Injection #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics ... #hip