16 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... reactive arthritis, gout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #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
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... (shoulders, wrists ... onset of swelling, pain ... Wrist, MCP, or shoulder ... swelling, significant pain
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 ... POCUS revealed joint ... MSU crystals=Gout ... #ultrasound #MSK
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/Night sweats ... ) - Watch out ... Effusions: - Gout ... - Pseudo gout
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
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Arthritis • Gout ... Aortic/Iliac artery aneurysms ... Excessive training 1) ... lower #extremity #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... to Manifest: 1. ... deposition in joints ... not possible • Ultrasound ... in a year • 1
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 ... use color to r/o aneurysm ... Global Ultrasound ... #clinical #msk
Ruptured AAA on POCUS

Nice pick up with a POCUS RUSH exam in a patient with undifferentiated
Ruptured AAA on ... AAA until ruled out ... AAA is hard to diagnose ... #ultrasound #abdominal ... #aneurysm #aorta