12 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... reactive arthritis, gout ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Medial Approach ... Knee Intra-articular ... osteophytes & narrowed joint ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... deformity Synovitis ... to bacterial, fungal ... #Pain #MSK #rheumatology ... #approach #workup
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... Alphavirus - Fungi ... Effusions: - Gout ... - Pseudo gout ... differential #diagnosis #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Mycobacterial • Fungal ... tuberculosis) • Fungi ... Differential #Diagnosis #MSK ... #rheumatology #
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... analysis: • MSU ... : Gout • CPPD: ... : Fungal stain and ... diagnosis #septic #joint
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... away from bone/joint ... tophi #clinical #POCUS ... #ultrasound #msk ... #rheumatology #
Medial Knee Intra-articular Corticosteroid Injection 

Knee injection medial approach -lying w knee flexed. Find post part
Injection Knee ... injection medial approach ... to find room in joint ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
great toe pain-MTP joint ... luck with that approach ... POCUS revealed joint ... MSU crystals=Gout ... #ultrasound #MSK
Baker's Cyst on POCUS 
63yo w p/w pain and swelling behind knee.  Probe on knee
Baker's Cyst on POCUS ... outpouching from joint ... dx) that pops out ... intraarticular joint ... #clinical #msk