10 results
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... • Gouty tophus ... history of gout ... Differential diagnosis ... #mri #clinical
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential ... Effusions: - Gout ... - Pseudo gout ... Reactive Syndrome - Acute ... diagnosis #msk #
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Monoarticular • Gout ... -4 joints) • Gout ... Rheumatic Fever Acute ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... suggests gout. ... Herbst @EUSmkh #Gout ... #POCUS #ultrasound ... #msk #rheumatology
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... DM/HTN (no hx gout ... POCUS revealed joint ... MSU crystals=Gout ... #POCUS #ultrasound
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
reactive arthritis, gout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK ... approach #workup #differential
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Aspiration of MTP Gout ... small. 1st MTP gout ... Aspiration #MTP #Gout ... #pocus #ultrasound ... #msk #toe
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Crystal induced (Gout ... weeks) Can Be Caused ... fever • Lyme • Gout ... Gram-negative bacilli ... #Diagnosis #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Arthritis • Gout ... Immobilization) • Acute ... #Leg #pain #differential ... lower #extremity #msk
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
History of gout. ... Extremely difficult case ... 1) even with gout ... arthritis 3) ultrasound ... #pocus #joint #