127 results
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 ... #Joint #Pain #MSK ... rheumatology #approach #workup
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... For intrinsic vs joint ... joint preventing ... BunnelLittler #Test ... clinical #video #msk
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... joint hinge joint ... joint = hinge joint ... #Orthopedics #MSK
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Key teaching point ... Check pregnancy test ... affects diagnostic workup ... Diagnosis #Algorithm #Workup ... #Endocrinology
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Diagnosis Algorithm 4 tests ... for the AC joint ... after cross-arm test ... Diagnosis #Algorithm #MSK
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
affecting the MCP & PIP ... often affects the DIP ... joints). ... cells at the MCP/PIP ... #msk #arthritis
Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
Thomas' Test for ... Hip Flexure Contracture ... Thomas' Test ... assesses for hip ... video #sports #msk
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 ... Comparison #Versus #MSK
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
the patient's hips ... The test is positive ... Pace #Maneuver #Test ... #physicalexam #hip ... lumbar #sciatica #msk
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