13 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... reactive arthritis, gout ... OA *Always do arthrocentesis ... for cell count, culture ... #Joint #Pain #MSK
Knee Effusions - Arthrocentesis Interpretation

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

Anticoagulated guy bruises to arm and
and Hematoma on Point ... guy bruises to ... #POCUS #Ultrasound ... #clinical #MSK ... #Sports
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
POCUS revealed joint ... MSU crystals=Gout ... POCUS for the win ... #ultrasound #MSK ... #Toe
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... The tophus over ... the joint suggests ... tophi #clinical #POCUS ... #ultrasound #msk
Complete achilles tendon rupture on POCUS

Patient with posterior ankle pain playing sports. Complete achilles tendon rupture.
on POCUS Patient ... ankle pain playing sports ... #POCUS #Complete ... #clinical #msk ... #ultrasound
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Tender on top of ... Arthrocentesis-64K ... Culture MRSA. ... #clinical #ultrasound ... #MSK
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS)

Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... (POCUS) Case ... of the Week! ... Complete #Tear #MSK
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
Acromioclavicular (AC) Joint Separation on POCUS with overlying hematoma

40yo M presents after falling off his bicycle
Acromioclavicular (AC) Joint ... Separation on POCUS ... #Separation #POCUS ... #clinical #ultrasound ... #MSK #sports