19 results
Free Fluid in Morison's Pouch - Abdominal POCUS

Transducer is on the right midaxillary line w/ indicator
POCUS Transducer ... Differential includes ... blunt/penetrating trauma ... pregnancy, & post-surgical ... #ultrasound
AAA is defined as a localized balloon-like dilatation of the abdominal aorta greater than 3cm. Risk
AAAs should be closely ... to the risk of rupture ... hypotension and pain ... move the bowel out ... #Abdominal #Ultrasound
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 ... No trauma. ... MSU crystals=Gout ... #ultrasound #MSK
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... after surgery/trauma ... weird joints (shoulders ... onset of swelling, pain ... Wrist, MCP, or shoulder
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 #
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 ... approach #workup #differential
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Diagnosis Framework ... Arthritis • Gout ... #differential # ... #extremity #msk
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... pain. ... (see below for diagnosis ... Live 12-week ruptured ... Unstable patients should
Distal Ureteral Stone
Pregnant woman (about 8 weeks by dates but no prenatal care yet) presents with
right adnexal pain ... severe sudden pain ... thinking ectopic, ruptured ... Came out with diagnosis ... Ureteral #Stone #ultrasound
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... swelling, significant pain ... Gram stain and culture ... not possible • Ultrasound ... Dual-energy CT → MSU