12 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 ... Gout - Pseudo ... gout - Osteoarthritis ... #msk #physicalexam
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 ... liquid layer in the effusion ... #clinical #ultrasound ... #msk #knee
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis on POCUS ... with severe left shoulder ... pain. ... Diagnosis? ... #ultrasound #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... and great toe pain-MTP ... Just tx as gout? ... MSU crystals=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 ... #MSK #rheumatology
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
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 ... not possible • Ultrasound ... Dual-energy CT → MSU
Baker's Cyst on POCUS 
63yo w p/w pain and swelling behind knee.  Probe on knee
63yo w p/w pain ... dx) that pops out ... Global Ultrasound ... #ultrasound #knee ... #clinical #msk
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
Ankle Joint on POCUS ... ORIF of ankle fracture ... presents with ankle pain ... flowing in and out ... #msk #infected