9 results
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Crystal induced (Gout ... fever • Lyme • Gout ... Differential #Diagnosis #MSK ... #rheumatology #
Subdeltoid Bursa steroid injection

Rheumatology @Rheumatology

#Subdeltoid #bursa #steroid #injection #shoulder #POCUS #clinical #ultrasound #msk
Rheumatology ... @Rheumatology ... #shoulder #POCUS ... #clinical #ultrasound ... #msk
Subdeltoid bursa injection anterior of the rotator interval in 8 seconds - POCUS


Rheumatology @Rheumatology

#Subdeltoid #bursa #injection
in 8 seconds - POCUS ... Rheumatology ... @Rheumatology ... #clinical #ultrasound ... #msk
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
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 #
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
to ultrasound-guided ... Identify anatomy of insertion ... Use compression ultrasound ... Use a short axis/out-of-plane ... #Guided #POCUS
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
Gout - Diagnosis ... Diagnose concomitant infection ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology