26 results
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Abscess on POCUS ... with lower abd pain ... Diagnosis? ... Patient has ruptured ... #Abscess #POCUS
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
severe abdominal pain ... (see below for diagnosis ... Live 12-week ruptured ... an IUP or not. #2 ... #Ultrasound #POCUS
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... weird joints (shoulders ... 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 ... 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
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Arthritis • Gout ... 2) Pallor-bruising ... #differential #diagnosis ... lower #extremity #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... Hyperuricemia 2. ... swelling, significant pain ... not possible • Ultrasound ... Indications • ≥2
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
Young patient 2 ... presents with ankle pain ... flowing in and out ... #msk #infected ... #pus #abscess #tibiotalar
Ectopic Pregnancy on Transabdominal Pelvic Ultrasound

22 yo F with near-syncope and RLQ abd pain. UPreg pending.
Ultrasound 22 ... near-syncope and RLQ abd pain ... Transabdominal probe out ... triage cinched diagnosis ... #POCUS #PelvicUS
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... reactive arthritis, gout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK