26 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... medications • Acute: NSAIDs ... 1) 2+ flares/year ... 2) Gouty tophi ... treatment #ULT #rheumatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... mass and NO prior signs ... - **MSK rads ... Differential diagnosis ... #rheumatology
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
Bucket Handle Tear ... - MSK Radiology ... The "double PCL sign ... Differential diagnosis ... Radiology #diagnosis #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... noninflammatory Signs ... • Better with NSAIDs ... #Diagnosis #MSK ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
double contour sign ... Dual-energy CT → MSU ... 2 attacks in a year ... +Radiographic signs ... management #treatment #rheumatology
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
be made, rule out ... inguinal ligament (near ... MeralgiaParesthetica #MSK ... pathophysiology #differential ... #diagnosis #signs
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
with a capsule tear ... Differential diagnosis ... GAGL): "Reverse J sign ... No tear of the labrum ... Radiology #diagnosis #msk
Diagram of different types of bone tumors that can occur around the knee on XRay -
Myeloma - punched out ... blade of grass sign ... Diagnosis #Bony #Differential ... Radiology #XRay #msk
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
Gout - Management ... Acute Gout Flare ... 1) colchicine, NSAIDs ... /year 4) consider ... Management #treatment #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
reactive arthritis, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential