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clinical diagnosis ultrasound approach arthritis differential effusion management mtp pain toe tophi tophus treatment workup
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
warm, swollen, tender ... reactive arthritis, gout ... for cell count, culture ... #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 ... tophi #clinical #POCUS ... #ultrasound #msk ... #rheumatology # ... labeled
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 MTP Gout Effusion on POCUS 50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
POCUS revealed joint ... Gram stain neg (culture ... MSU crystals=Gout ... Labeled Schematic ... #ultrasound #MSK
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 Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... ankles, knees, fingers ... elbows, Achilles tendon ... management #treatment #rheumatology
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