6 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... OA *Always do arthrocentesis ... for cell count, culture ... #Joint #Pain #MSK ... #differential #diagnosis
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - Arthrocentesis ... analysis: • MSU ... : Gout • CPPD: ... Interpretation #diagnosis ... #septic #joint
Biceps Tendon Rupture and Hematoma on Point or Care Ultrasound (POCUS)

Anticoagulated guy bruises to arm and
and Hematoma on Point ... or Care Ultrasound ... #POCUS #Ultrasound ... #clinical #MSK ... #Sports
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
without using ultrasound ... POCUS revealed joint ... Gram stain neg (culture ... MSU crystals=Gout ... #ultrasound #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Diagnosis? ... Arthrocentesis-64K ... Culture MRSA. ... #clinical #ultrasound ... #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... deposition in joints ... attacks • Other joints ... or arthrocentesis ... not possible • Ultrasound