Manjari Lahiri Profile picture
Jun 6, 2023 6 tweets 12 min read Read on X
Back to basics‼️

A tweetorial on a clinical approach to #joint #pain 🪡
1/n

The 🔠ABCDE approach

🅰️ Articular (or not!) 🦴
🅱️ Background (& burden) 🎒
C Chronology 🕰️
D Distribution 📍
E Extra-articular 🍂

Let’s dive deeper

#MedTwitter
#RheumTwitter ImageImageImage
2/n
#Pain is #inflammatory if worst in the AM/ after rest

#Swelling which is not bony #Synovitis the sine qua non of #inflammatory #arthrits

#Stiffness esp in AM & > 1 hour

“How do you feel when you wake in the morning?”

is a great question to ask

#MedTwitter
#RheumTwitter ImageImageImageImage
3/n
🅱️ = BACKGROUND

Age 🕰️
Gender ♈️♎️
Race 🧕🏻
#Comorbidities
Pregnancy🤱🏻

And 🅱️ = Burden👩🏻‍🦼
#impact of disease

#MedTwitter
#RheumTwitter ImageImageImageImage
4/n
C 🟰Chronology 🕰️

6 wks is a (semi) arbitrary cut-off for ACUTE VS. CHRONIC #arthritis ; most viral arthritides will resolve in this time

Inflammatory arthritides are insidious onset

“Are you completely well at times” is a good question to ask
#MedTwitter
#RheumTwitter ImageImage
5/n
D 🟰 DISTRIBUTION

Pattern recognition is #key to making a #diagnosis of #rheumatic disease

Remember
👣The wrist is a small joint 🐣
👣The hip is an axial joint
👣Symmetry is relative 🫶🏽. Life is not perfect 🤷🏻‍♀️

#MedTwitter
#RheumTwitter ImageImageImageImage
6/n
E 🟰Extra-articular

🤌🏽 A good ROS is imperative.

🤌🏽 Problem representation helps to cast the net wide, and not forget to think OUTSIDE of the joints

Remember #CTD
Not all #inflammatory #arthritis is RA‼️

#MedTwitter
#RheumTwitter

END
Credit: Julian Lim ⭐️ ImageImageImageImage

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Manjari Lahiri

Manjari Lahiri Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(