37 results
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... stiffness • Moving ... painful swelling -> Pain ... -> Pain with motion ... Comparison #Versus #MSK
Talus Fracture on POCUS
Athlete with hard landing on one foot, pain and tenderness over dorsum of
Talus Fracture on POCUS ... landing on one foot, pain ... to tibiotalar joint ... POCUS showed talus ... clinical #ultrasound #MSK
Anterior Shoulder Dislocation Pre and Post-Reduction on Point of Care Ultrasound (POCUS)

Using #POCUS to identify an
Post-Reduction on Point ... Care Ultrasound (POCUS ... ) Using #POCUS ... injection for pain ... Ultrasound #Cinical #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Disease: • Pain ... mainly or only during ... #Pain #MSK #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... • How many joints ... taking a shower and moving ... #Arthritis #Joint ... #Diagnosis #MSK
Adhesive Capsulitis (Frozen Shoulder) - Pathogenesis and Clinical Findings

 • Primary (Idiopathic): Unknown etiology, but associated
hemiplegia, or during ... months • Shoulder pain ... Decr Shoulder pain ... • No shoulder pain ... stages #staging #msk
Point of Care Ultrasound (POCUS)

Echogenicity - Brightness
Probe Positioning
Transducer Orientation
Knobology (DAG):
 • DEPTH - Can increase or
Point of Care Ultrasound ... (POCUS) Echogenicity ... screen • AXIS - moving ... the Y axis • GAIN ... #Ultrasound #POCUS
Point of Care Ultrasound (POCUS) - Basics
Nomenclature:
 - Echogenicity = brightness
 - Hyperechoic = more echogenic
Point of Care Ultrasound ... (POCUS) - Basics ... screen - AXIS- moving ... the Y axis - GAIN ... Brightness of image #pocus
Olecranon Bursitis Aspiration
60 yo ESRD with elbow arm pain - PoCUS during exam. Aspiration at bedside
with elbow arm pain ... - PoCUS during ... Next stop=joint ... Aspiration #clinical #msk ... #POCUS #ultrasound
CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen
CRIES is a 10-point ... scale, using a ... 1995) CRIES (Table ... assessing neonatal pain