9 results
Gout: Pathogenesis and Clinical Findings
 - Conditions of rapid cell turnover: hemolysis, psoriasis, lymphoproliferative disorders
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Gout: Pathogenesis ... for excretion in urine ... phagocytose the crystal ... Needle-shaped uric acid crystals ... Complications #Gout
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... exclusively on urine ... Microscopic exam • Crystals ... Tubular Necrosis (ATN ... #Urinalysis #crystals
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... deposition of crystal ... 1105516919841525761 #Gout ... Shoulder #Clinical #POCUS ... #Ultrasound #Crystals
Talar Gout on POCUS

Got the gouch! Talus shown with erosion, overhanging edge, and hyperemia at eroded
Talar Gout on POCUS ... Got the gouch ... Tap + MSU crystals ... #Talar #Talus #Gout ... #POCUS #MSK #Clinical
Urine Microscopy - Urinary Sediment Examination Instructions
Preparation of the urine for microscopic examination:
 • Clean catch
Urine Microscopy ... and condenser focus ... Ill stain) and crystals ... RBC's, lipids, crystals ... identification of lipids, crystals
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
IMPROVEMENT If the urine ... , RBCs, casts, crystals ... etiologies due to ATN
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
synovial fluid • Gout ... intracellular urate crystals ... (gout) or calcium ... pyrophosphate dihydrate crystals ... • Serum and urine
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
on POCUS 50s male ... POCUS revealed joint ... MSU crystals=Gout ... POCUS for the win ... Effusion #Clinical #POCUS
Pyuria on POCUS and Foley
What do you think the urine looks like in this patient?
There is
Pyuria on POCUS ... you think the urine ... Purulent urine. ... Grew out E. coli ... RJonesSonoEM #Pyuria #POCUS