MSK

Question 1

Causes of Painful Joints

Answer 1

1. Gout (affects big toe first)
2. Pseudogout (stiffness, warmth, big joints)
3. Rheumatoid arthritis (swan neck deformity, ulnar deviation)
4. Osteoarthritis
5. Lupus (systemic: butterfly rash, sensitivity to light, kidney problems, mouth sores, muscle pain)
6. Osteomyelitis (fever, pus, sweating)
7. Reactive arthritis (cant see, cant pee cant climb a tree)

Question 2

Signs of Joint inflammation

Answer 2

1. Swelling
2. Warmth
3. Tenderness
4. Redness
5. Pain with movement
6. Stiffness

Question 3

Questions to ask for joint pain?

Answer 3

1. Symmetry in joint pain?
2. Any stiffness?
3. Any swelling?
4. Any diurnal variation in symptoms?
5. Does activity or heat make symptoms better?
6. Any lumps or swelling; Heberden’s/ Bouchard = osteoarthritis
7. Deformities: swan neck, ulnar deviation, boutienner’s deformity of the thumb

Question 4

Systemic symptoms associated with joint pain

Answer 4

1. Rashes
2. Red eyes
3. Dry eyes
4. Weight loss
5. Diarrhoea
6. Mouth/ Genital Ulcers
7. PR bleeding

Question 5

Questions for Joint Pain history

Answer 5

1. Does patient have any neurological symptoms?