91 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Pain - Differential ... Diagnosis Algorithm 4 tests ... for the AC joint ... after cross-arm test ... #Pain #Differential
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Drop Arm Test - ... Passively adduct the shoulder ... 30 degrees, and point ... Supraspinatus #Tear #Shoulder ... clinical #video #sports
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... - parvovirus, HIV ... #rheumatology # ... approach #workup #differential
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... common sites: hip ... , shoulder ... • Differentiate ... diagnosis #causes #hematology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... nociceptors -> Pain with rest ... motion (relieved by rest ... affects the knee hip ... > Stiffness is short-lived
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... Palsy This tests ... compensates via MP joint ... clinical #video #neurology ... #orthopedics #sports
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
rimmed vacuoles HIV ... CK, Detectable HIV ... myopathy) VA Joint ... Myopathies #myopathy #differential ... diagnosis #comparison #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 ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... of the affected joint ... should be obtained ... : HIV test, a rubella ... diagnosis #testing #Rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... axial (spine, shoulders ... , hips)? ... - Autoimmune Rheumatologic ... #pain #Differential