24 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Disease: • Pain ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Joint Disease ... nociceptors -> Pain ... commonly affects the knee ... hip and L/C-spine ... Comparison #Versus #MSK
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 #
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential ... Fever/Chills/Joint ... pain/Night sweats ... Seronegative Reactive Syndrome ... #diagnosis #msk
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... - SLE Neurologic ... nodes (PIP joints ... #pain #differential ... #diagnosis #rheumatology
Ober's Test for TFL/ITB Inflammation

With the patient in the lateral position, affected side up.  The
restricted or pain ... #Iliotibial #Band ... #Syndrome #ITBand ... #video #physicalexam ... #sports #msk #orthopedics
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Legg-Calve-Perthes disease ... - Lyme disease ... • Iliotibial band ... lower #extremity #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... spine, shoulders, hips ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
for Hip and Sacroiliac ... foot on the other knee ... brim may elicit pain ... joint. ... #sports #msk #orthopedics
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... : HIV test, a rubella ... low back pain) ... Arthritis #laboratory #workup ... diagnosis #testing #Rheumatology