9 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... reactive arthritis, gout ... Like in this case ... #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
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... interphalangeal joint ... with joint-space ... • This case should ... #rheumatology
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... Diagnosis Algorithm ... Monoarticular • Gout ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... joint 50 yo male ... pain. ... Labeled image: https ... #POCUS #Ultrasound
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
axial (spine, shoulders ... Crystal induced (Gout ... weeks) Can Be Caused ... #Diagnosis #MSK ... #rheumatology #
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
FLAGS - In all cases ... disease and these should ... cell disease Rheumatology ... discrepancy, multiple joint ... #Limping #NWB #Algorithm
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... POCUS revealed joint ... MSU crystals=Gout ... Labeled Schematic ... #ultrasound #MSK
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
proximal muscles of shoulder ... tract: Abdominal pain ... tract, and often causes ... , abdominal pain ... Differential #Diagnosis #Rheumatology