1984 results
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... involving small joints ... • synovitis; joint ... narrowing) • Ultrasound ... #Rheumatoid #Arthritis
Septic arthritis of the elbow on Point of Care Ultrasound (POCUS)

66M w painful, swollen R elbow
Septic arthritis ... of Care Ultrasound ... thickening and joint ... UAB_Sono #Septic #arthritis ... #elbow #Joint #
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis ... arthritis rare. ... arthritis can be ... septic arthritis ... POCUS #clinical #ultrasound
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
Purulent Ankle Joint ... out of the ankle joint ... to have septic arthritis ... University of Michigan Ultrasound ... POCUS #clinical #ultrasound
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... of the shoulder joint ... Clinical #POCUS #Ultrasound
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
MTP Septic arthritis ... concern for septic arthritis ... mean no septic arthritis ... 3) ultrasound ... clinical #pocus #joint
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Approach to Joint ... ): • Septic joint ... Lyme), reactive arthritis ... SLE, psoriatic arthritis ... differential #diagnosis #arthritis
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Common Forms of Arthritis ... Acute Rheumatoid Arthritis ... in rheumatoid arthritis ... Chronic Rheumatoid Arthritis ... #Arthritis #Hands
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
Rheumatoid Arthritis ... = definite RA Joint ... 2-10 large joints ... , +/- large joints ... #Rheumatoid #Arthritis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... with rheumatoid arthritis ... other inflammatory arthritides ... oxalate Infectious Arthritis