24 results
clinical msk differential management rheumatology abdominal arthritis joint ectopic effusion hemoperitoneum infections infectiousdiseases neurology pregnancy radiology transverse trauma workup 1
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
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 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 ... at the bedside #3 ... #Ultrasound #POCUS
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 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
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 Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... Arthritis • Gout ... Pallor-bruising 3) ... #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 ... swelling, significant pain ... Gram stain and culture ... not possible • Ultrasound ... Dual-energy CT → MSU
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
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 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
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 Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
3. ... reactive arthritis, gout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #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
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