9 results
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... • Gouty tophus ... mass and NO prior signs ... #rheumatology
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... #MitralValve #Endocarditis ... #clinical #cardiology ... #a4c #plax
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
reactive arthritis, gout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
• Great toe ( ... double contour sign ... Dual-energy CT → MSU ... +Radiographic signs ... management #treatment #rheumatology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
She had gained 15 ... ASA, Kussmaul's sign ... , (B) a septal mitral ... #a4c #pocus #clinical ... #cardiology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
noninflammatory Signs ... Crystal induced (Gout ... fever • Lyme • Gout ... Differential #Diagnosis #MSK ... #rheumatology #
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Nodules • RA • Gout ... Tophi - Gout ... Vasculitis (e.g., PAN ... of ear, sparing the ... differential #diagnosis #rheumatology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
- with severe MS ... seen in LA by the ... TR with severe PAH ... #clinical #cardiology ... #a4c #thrombus
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... Polyarteritis Nodosa: • PAN ... purpura, joint & gut ... urticaria, recent viral ... Differential #Diagnosis #Rheumatology