86 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
mycobacterial), RA, crystal ... reactive arthritis, gout ... culture, look for crystals ... Parallel, yellow = gout ... #Joint #Pain #MSK
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Differential Diagnosis Algorithm ... Crystalline - Gout ... - Uric Acid Crystals ... Pyrophosphate Dihydrate Crystals ... #Disorders #msk
Gout: Pathogenesis and Clinical Findings
 - Conditions of rapid cell turnover: hemolysis, psoriasis, lymphoproliferative disorders
 -
Gout: Pathogenesis ... phagocytose the crystal ... Needle-shaped uric acid crystals ... Chronic tophaceous gout ... Complications #Gout
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... Acute CPP Crystal ... MCP, or shoulder joints ... deposition in joints ... attacks • Other joints
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
Arthrocentesis - Joint ... Clarity, WCC, PMN, Crystals ... ), Gout (negatively ... birefringent crystals ... Arthrocentesis #Joint
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... of the shoulder joint ... deposition of crystal ... 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
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Differential Diagnosis Algorithm ... Monoarticular • Gout ... ) • Gout • Psoriatic ... Inflammatory #JointPain #MSK ... Differential #Diagnosis #Algorithm
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... interphalangeal joint ... with joint-space ... - **MSK rads ... appearance, usually joint
Joint Pain - Differential Diagnosis
Articular: Infectious, Degenerative, Inflammatory
Non-articular: Localized, General

#Joint #Pain #Differential #Diagnosis #MSK #algorithm
Joint Pain - Differential ... Localized, General #Joint ... Differential #Diagnosis #MSK ... #algorithm