6 results
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... double contour sign ... Labeled image: https ... #POCUS #Ultrasound ... #Crystals
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
ankles, knees, fingers ... Needle-shaped, negatively ... not possible • Ultrasound ... double contour sign ... +Radiographic signs
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
without using ultrasound ... MSU crystals=Gout ... POCUS for the win ... Labeled Schematic ... #ultrasound #MSK
Flexor Tenosynovitis on POCUS

Index finger including flexor tendon being viewed.  Note small fluid around the
Tenosynovitis on POCUS ... reveal Kanavel’s signs ... : finger held in ... #MSK #clinical ... #ultrasound #labeled
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
in a gallbladder ... Inner mucosal layer ... US Murphy's sign ... is negative generally ... #clinical #ultrasound
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
axial (spine, shoulders ... noninflammatory Signs ... Inflammatory • Crystal ... aureus • Gram-negative ... Differential #Diagnosis #MSK