7 results
Talar Gout on POCUS

Got the gouch! Talus shown with erosion, overhanging edge, and hyperemia at eroded
Talar Gout on POCUS ... Tap + MSU crystals ... #Talar #Talus #Gout ... #POCUS #MSK #Clinical ... #Ankle #Ultrasound
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
without using ultrasound ... luck with that approach ... Ankle block with ... MSU crystals=Gout ... #ultrasound #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... tenderness - No joint deformity ... to bacterial, fungal ... #Joint #Pain #MSK ... #rheumatology #
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... joint suggests gout ... tophi #clinical #POCUS ... #ultrasound #msk ... #rheumatology #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... fever • Lyme • Gout ... tuberculosis) • Fungi ... Differential #Diagnosis #MSK ... #rheumatology #
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
on POCUS Young ... flowing in and out ... #Joint #POCUS # ... clinical #ultrasound ... #msk #infected
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... include forefoot, ankles ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology