27 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Common Forms of Arthritis ... Acute Rheumatoid Arthritis ... metacarpophalangeal, and wrist ... #Types #Rheumatology ... #Forms #Diagnosis
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #diagnosis
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... • MCP + PIP + Wrist ... Hemochromatosis • Wrist ... patterns #hand #diagnosis ... #rheumatology #
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... typically part of the workup ... • Test all patients ... , knees, wrists,
Radiocarpal Wrist Injection

Radiocarpal wrist injection. Often swelling is more prominent in inflammatory arthritis on radial side
Radiocarpal Wrist ... in inflammatory arthritis ... Injection #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... interphalangeal joint ... with joint-space ... #msk #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... (to support a diagnosis ... #laboratory #workup ... #diagnosis #testing ... #Rheumatology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
(shoulders, wrists ... disease states Pathophysiology ... knees, fingers, wrist ... Gout #Comparison #rheumatology ... #Diagnosis
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... in Rheumatoid arthritis ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis ... #pathophysiology