8 results
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 ... #MSK #rheumatology ... #approach #workup
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.
and great toe pain-MTP ... without using ultrasound ... luck with that approach ... MSU crystals=Gout ... #ultrasound #MSK
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 - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
swelling, significant pain ... not possible • Ultrasound ... Dual-energy CT → MSU ... deposits • Plain ... management #treatment #rheumatology
Baker's Cyst on POCUS 
63yo w p/w pain and swelling behind knee.  Probe on knee
63yo w p/w pain ... dx) that pops out ... Global Ultrasound ... #ultrasound #knee ... #clinical #msk
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
Ankle Joint on POCUS ... presents with ankle pain ... flowing in and out ... #Ankle #Joint #POCUS ... #msk #infected