Manjari Lahiri Profile picture
Rheumatologist, A/Prof @NUSMedicine 🇸🇬 || @AIIMS_NewDelhi ‘90-‘99 🇮🇳 || #Rheum nuggets 🦴|| #MedEd || #RheumTwitter || Mummy of 2 || Dreamer || Views my own
Jun 6, 2023 6 tweets 12 min read
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