15 results
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint pain ... (1%) - Watch out ... Effusions: - Gout ... - Pseudo gout ... #msk #physicalexam
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... weird joints (shoulders ... onset of swelling, pain ... Wrist, MCP, or shoulder ... forefoot, ankles, knees
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... of the shoulder ... pain. ... 1105516919841525761 #Gout ... #POCUS #Ultrasound
Interscalene Nerve Block on POCUS
Fracture/dislocation of a shoulder. Pt hypoxic/hypovent due to opiates. When your rock
Fracture/dislocation ... of a shoulder. ... #POCUS #ultrasound ... #clinical #pain ... local #anesthesia #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
axial (spine, shoulders ... Very hard to get out ... Crystal induced (Gout ... fever • Lyme • Gout ... #Diagnosis #MSK
Lipohemarthrosis on POCUS
Pain in L knee after injury. Long axis in suprapatellar recess. What's the diagnosis?
Answer:
Pain in L knee ... What's the diagnosis ... Answer: Pain in ... #clinical #ultrasound ... #msk #knee
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
ORIF of ankle fracture ... presents with ankle pain ... flowing in and out ... to have septic arthritis ... #msk #infected
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... : • Fracture ... Gout/pseudogout ... #differential #diagnosis ... lower #extremity #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... forefoot, ankles, knees ... swelling, significant pain ... frequent attacks • Arthritis ... not possible • Ultrasound
Serratus Anterior Plane (SAP) Nerve Block for Ribs on POCUS 

Ribs 2-10 fractured -> POCUS guided
Ribs 2-10 fractured ... block = excellent pain ... Anterior #SAP #Ribs #NerveBlock ... #POCUS #ultrasound ... the needle is out-of-plane