10 results
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... “Bamboo Spine” Fusion ... • Reactive arthritis ... Systemic Lupus Erythematosus ... (SLE), should have
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... Systemic Lupus (SLE ... 50%): Pleurisy / effusion ... of hip (rare), Arthritis ... #systemic #erythematosus
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Suspect: Clinical ... lymphoproliferative syndrome Clinical ... Lungs: • Pleural effusions ... : • Joint pain ... arthropathy • 90% joints
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... effusions, reduced ... narrowing) • Ultrasound ... Diagnosis: CLINICAL ... #Rheumatoid #Arthritis
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 • Constitutional domain: Fever
 • Cutaneous domain: Non-scarring
Clinical Domains ... cutaneous lupus • Arthritis ... in at least 2 joints ... or pericardial effusion ... Classification #Criteria #SLE
Septic arthritis of the elbow on Point of Care Ultrasound (POCUS)

66M w painful, swollen R elbow
Septic arthritis ... thickening and joint ... effusion seen between ... #elbow #Joint # ... Clinical #POCUS
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis ... showed effusion ... effusion. ... #Effusion #POCUS ... #clinical #ultrasound
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
spondylitis - Sacroiliac joint ... of the affected joint ... Systemic lupus erythematosus ... • Sacroiliac joint ... ANA and RF (if clinical
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
mycobacterium without effusion ... Clinically no effusion ... 3) ultrasound ... mycobacterium #clinical ... #pocus #joint #
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
You see pus flowing ... to have septic arthritis ... University of Michigan Ultrasound ... #POCUS #clinical ... #ultrasound #msk