18 results
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
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 ... #ultrasound #MSK
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
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 #
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
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
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
Ankle Joint on POCUS ... presents with ankle pain ... flowing in and out ... #msk #infected ... #pus #abscess #tibiotalar
Shoulder Dislocation - Intraarticular Lidocaine Injection on POCUS
Want to add spice to your relationship with minor
Diagnose...intra ... Never fails to put ... #clinical #ultrasound ... #msk #anesthesia ... #local #pain
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Total scores >2 ... the ICU due to short ... extubation, as it should ... and analgesia w/out ... #CriticalCare #diagnosis