14 results
Telescoping Fingers on Physical Exam

A 69-year-old woman with rheumatoid arthritis presented for the treatment of severe
Telescoping Fingers ... treatment of severe joint ... #PhysicalExam #RA ... RheumatoidArthritis #Clinical ... #Video #Rheumatology
Jaccoud's Arthropathy on Physical Examination

Deforming non-erosive arthropathy characterized by ulnar deviation of the second to fifth
second to fifth fingers ... metacarpophalangeal joint ... RA is a fixed deformity ... #Ulnar #clinical ... #hands #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
• Neoplasm Nodules ... Wilson's disease Pulmonary ... nodules - RA, SLE ... #differential #diagnosis ... #rheumatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... with joint-space ... Inflammatory Arthritides (RA ... Tendon Sheath - Nodular ... #msk #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... -60 minutes or longer ... rheumatoid arthritis (RA ... #Pain #MSK #rheumatology ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... (Whipple's disease ... Symmetrical: • RA ... #Differential #Diagnosis ... #MSK #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
well below hip joint ... Bursa #Injection #clinical ... #video #procedure ... #rheumatology # ... sports #msk #orthopedics
Rheumatoid Arthritis - Signs and Symptoms
 • Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans
 • Pulmonary:
Skin: Rheumatoid nodules ... Musculoskeletal: Joint ... Rheumatoid #Arthritis #RA ... Signs #Symptoms #diagnosis ... #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
: Erythematous nodules ... vesicular eruption • Joints ... Palpable purpura, joint ... palpable purpura, nodules ... #Rheumatology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
overlaps with RA ... salivary ducts Clinical ... Nephrogenic DI Hematologic ... phenomenon (16%) MSK ... Sjogrens #Syndrome #Rheumatology