joint and limb pain differential

Question 1

wrist pain
black eye
says fell hit head female

Answer 1

abuse
facttitous disorder
substance abuse

Question 2

carpel tunnel 
median nerve compression forearm 
radiculopathy of new roots c6-c7
postive phalen 
talen

Answer 2

wrist pain w WNT bringing in palm and 1, 2 3 fingers wrose at night. relieved by shaking. sensory loss in same fingers
u/s wrist, MRI spin
nerve conduction test
EMG

Question 3

pain interphalangeal joints of hand + salmon pink lesion extensor surface

Answer 3

psoriatic arthritis 
ESR CRP cap anti cpp
XRAY HANDS, X. RAY SACROILIAC JOINTS 
CBC
HLA- b27

Question 4

65 yo f fall - hip externally rotated, shortened aduccted

Answer 4

hip fracture

Question 5

pain right groin- leg flexed, internally rotated adducted

Answer 5

hip dislocation

Question 6

osteoarthritis

Answer 6

obese 
gradual onset 
femal 
stiffness 
pain increases with movement 
swelling deformity 
difficulty walking 
knee arthrocentesis + synovial fluid analysis( cell count, gram stain, culture, crystals)
XR knee 
CBC
ESR

Question 7

45 yo m fever right knee pain swelling redness

Answer 7

cbc arthrocentesis and synovial fluid anaylsis  
blood urethral culture 
xray knee
septic arthritis 
grout

Question 8

pain with dorsiflexion
tender lateral epicondylitis
grip impaired

Answer 8

xray arm

lateral epicondylitis

Question 9

painful wrist , elbow
hot knee joint, rash ( disseminated) on limbs
vaginal discharge
multiple partners

Answer 9

disseminated gonorrhea

Question 10

PVD

Answer 10

ankle- branchial index
dopper u/s
Leriche syndrome
lumbar stenosis

Question 11

FOOSH - holding arm

Answer 11

shoulder dislocation
humeral fracture
rotator cuff injury