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clinical diagnosis effusion ankle arthritis rheumatology abscess ac acromioclavicular analysis approach biceps differential effusions fluid hematoma infected interpretation knee management
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
): • Septic joint ... OA *Always do arthrocentesis ... for cell count, culture ... • WBC >20k: Septic ... #Joint #Pain #MSK
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Knee Effusions - Arthrocentesis ... : Negative Septic ... analysis: • MSU ... : Gout • CPPD: ... #joint #fluid #
Ankle Arthrocentesis on POCUS This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
on POCUS This ... Absence of a joint ... effusion makes a septic ... joint unlikely. ... #ultrasound #msk
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 Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
Arthrocentesis-64K ... Culture MRSA. ... AC joint septic ... #clinical #ultrasound ... #MSK
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 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
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 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
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 Purulent Ankle Joint on POCUS Young patient 2 weeks status post ORIF of ankle fracture presents with
on POCUS Young ... flowing in and out ... found to have septic ... #POCUS #clinical ... #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 ... Uncertain diagnosis or arthrocentesis ... not possible • Ultrasound ... Dual-energy CT → MSU
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