26 results
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
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... interphalangeal joint ... with joint-space ... - **MSK rads ... #msk #rheumatology
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
metacarpophalangeal, and wrist ... Chronic Tophaceous Gout ... chronic tophaceous gout ... #Hands #Types #Rheumatology ... #Forms #Diagnosis
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
(shoulders, wrists ... disease states Pathophysiology ... knees, fingers, wrist ... #Comparison #rheumatology ... #Diagnosis
WHAT test - Wrist Hyperflexion and Abduction of the Thumb 

The wrist is hyperflexed and the
WHAT test - Wrist ... Thumb The wrist ... PhysicalExam #clinical #video ... #sports #msk #orthopedics ... #rheumatology
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
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
• MCP + PIP + Wrist ... Hemochromatosis • Wrist ... Polyarticular gout ... patterns #hand #diagnosis ... #rheumatology #
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... synovial fluid • Gout ... urate crystals (gout ... #diagnosis #testing ... #Rheumatology
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
ulnar deviates the wrist ... Tenosynovitis #clinical #video ... physicalexam #sports #msk ... #orthopedics #rheumatology ... #wrist
Eichhoff's Test in de Quervain's Tenosynovitis

The Eichhoff test is used to assess for de Quervain's tenosynovitis,
Eichhoff's Test ... Video via @asaibrahim ... Tenosynovitis #clinical #video ... physicalexam #sports #msk ... #orthopedics #rheumatology