7 results
Olecranon bursitis in gout on POCUS

Note the hyperechogenicity of the synovial fluid (>20000 cells)

Rheumatology @Rheumatology

#olecranon #bursitis
Olecranon bursitis in gout ... on POCUS Note ... @Rheumatology ... #clinical #ultrasound ... #pocus #elbow
Elbow arthrocentesis with POCUS 
Probe oriented transverse with obvious effusion in the olecranon fossa
Make sure your
Elbow arthrocentesis ... with POCUS Probe ... Make sure your approach ... #clinical #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 #
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
on POCUS 50s male ... without using ultrasound ... luck with that approach ... MSU crystals=Gout ... #ultrasound #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
fingers, wrist, elbow ... Tophi on extensor elbows ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology