849 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... stiffness, warm, swollen ... Lyme), reactive arthritis ... SLE, psoriatic arthritis ... differential #diagnosis #arthritis
Septic arthritis of the elbow on Point of Care Ultrasound (POCUS)

66M w painful, swollen R elbow
Septic arthritis ... 66M w painful, swollen ... thickening and joint ... UAB_Sono #Septic #arthritis ... #elbow #Joint #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... • Moving the joint ... red -> Warm Red Swollen ... in Rheumatoid arthritis
Lyme Disease - Diagnosis and Management Summary

Lyme Disease Epidemiology:
- Spirochete
- Reservoir: small mammals & birds
- Transmitted
illness/fatigue - Swollen ... to Years): - Arthritis ... Polyneuropathy • Arthritis ... : - Large joints ... - Joint swelling
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... neuritis - Giant cell arteritis ... Heberden's nodes (DIP joints ... Bouchard's nodes (PIP joints ... Extrarticular #conditions #joint
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Common Forms of Arthritis ... Acute Rheumatoid Arthritis ... in rheumatoid arthritis ... Chronic Rheumatoid Arthritis ... #Arthritis #Hands
Reactive Arthritis
 • Inflammation of joints (commonly large joints)
    - Asymmetric Oligoarthritis: Joint
Reactive Arthritis ... Inflammation of joints ... commonly large joints ... Oligoarthritis: Joint ... Genitourinary tract -> Urethritis
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... the PIP and MCP joints ... but not the DIP joints ... 3rd MCP and PIP joints ... 5% of times Joint
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
Rheumatoid Arthritis ... = definite RA Joint ... 2-10 large joints ... , +/- large joints ... #Rheumatoid #Arthritis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... with rheumatoid arthritis ... other inflammatory arthritides ... oxalate Infectious Arthritis