17 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
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
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
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Arthritis • Gout ... Excessive training 1) ... differential #diagnosis ... lower #extremity #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
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
on POCUS Young ... presents with ankle pain ... flowing in and out ... #ultrasound #msk ... infected #pus #abscess
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 ... swelling, significant pain ... not possible • Ultrasound
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 ... Pearls: #1 Confirm
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
pain. ... Diagnosis? ... Culture MRSA. ... #clinical #ultrasound ... #MSK