8 results
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... • Gouty tophus ... • This case should ... Giant Cell Tumor Tendon ... #Gouty #Arthritis
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... , gout or pseudogout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
- Differential Diagnosis ... Crystalline - Gout ... Erythematosus (SLE), should ... #Disorders #msk ... #Differential #Diagnosis
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
with severe left shoulder ... Tender on top of ... Diagnosis? ... joint septic arthritis ... clinical #ultrasound #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... • Gout/pseudogout ... • Popliteus tendinitis ... imbalance) • Tendinitis ... lower #extremity #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... axial (spine, shoulders ... Crystal induced (Gout ... fever • Lyme • Gout ... #Diagnosis #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... elbows, Achilles tendon
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diminished, or tender ... proximal muscles of shoulder ... vesicular eruption • Joints ... oligoclonal bands • MRI ... Palpable purpura, joint