8 results
Metatarsal Gout on POCUS

Painful and swollen 1st metatarsal. Double contour sign. Diagnosis? Gout. 

Global Ultrasound Institute
Metatarsal Gout on POCUS ... Double contour sign ... Global Ultrasound ... #clinical #rheumatology ... #ultrasound
TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites
Not uncommon during nephrology rounds in
TIE Fighter Sign ... Note in long axis ... #TIEFighter #Sign ... #POCUS #ultrasound ... clinical #ascites #pelvis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
She had gained 15 ... ASA, Kussmaul's sign ... edema, and clear lungs ... Echocardiogram #a4c ... #pocus #clinical
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
is the cardiac ultrasound ... as McConnell's sign ... #Clinical #POCUS ... Echocardiogram #Definity #A4C ... #McConnells #Sign
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... Binder) • Use POCUS ... ↓ BP is a late sign ... normalized vital signs ... Survey #CABCDE #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... not possible • Ultrasound ... double contour sign ... +Radiographic signs ... #treatment #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diseases, such as SLE ... purpura: Strong sign ... Multinucleated giant cells ... Differential #Diagnosis #Rheumatology
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... shoulders (in a shawl sign ... Non-small-cell lung ... Dermatomyositis #diagnosis #management ... #rheumatology #