19 results
Ultrasound guidance for knee arthrocentesis. 

Dr. Stephen Alerhand @SAlerhand

#Knee #Arthrocentesis #POCUS #clinical #ultrasound #MSK
Ultrasound guidance ... for knee arthrocentesis ... @SAlerhand #Knee ... #Arthrocentesis ... #MSK
Ultrasound Guided Knee Arthrocentesis 

Use ultrasound for arthrocentesis! More accurate and less painful.
Ultrasound-guided versus landmark in
Ultrasound Guided ... Knee Arthrocentesis ... versus landmark in knee ... Kim @dan___kim #Knee ... pocus #clinical #msk
Ultrasound guided arthrocentesis (knee) with a resident.  Same principles apply for all ultrasound guided procedures.
arthrocentesis ... (knee) with a resident ... UltrasoundStuff #Knee ... #Arthrocentesis ... #MSK
Suprapatellar Hematoma on POCUS
Before knee arthrocentesis, be sure fluid is inside joint. Hypoechoic suprapatellar lesion, partly
POCUS Before knee ... arthrocentesis, ... Hematoma #POCUS #ultrasound ... #clinical #msk ... #knee
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Debridement and Management ... Staphylococci: 24wk for knees ... benefit > risk - Never ... should prompt arthrocentesis ... #Debridement #Management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... hepatitis • Pulmonary ... Disease #diagnosis #management ... #treatment #rheumatology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... HeartFailure #Cardiology #Management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... forefoot, ankles, knees ... Uncertain diagnosis or arthrocentesis ... not possible • Ultrasound ... #treatment #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
acute rheumatic fever ... OA *Always do arthrocentesis ... #Joint #Pain #MSK ... #rheumatology #
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
of hands/feet, knees ... narrowing) • Ultrasound ... Arthritis #diagnosis #management ... #rheumatology