17 results
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 ... Pearls: #1 Confirm ... Unstable patients should
AAA is defined as a localized balloon-like dilatation of the abdominal aorta greater than 3cm. Risk
the abdominal aorta ... AAAs should be closely ... hypotension and pain ... move the bowel out ... #Abdominal #Ultrasound
Distal Ureteral Stone
Pregnant woman (about 8 weeks by dates but no prenatal care yet) presents with
right adnexal pain ... thinking ectopic ... , ruptured cyst ... Came out with diagnosis ... Ureteral #Stone #ultrasound
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
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... to Manifest: 1. ... swelling, significant pain ... not possible • Ultrasound ... in a year • 1
Ectopic Pregnancy on Transabdominal Pelvic Ultrasound

22 yo F with near-syncope and RLQ abd pain. UPreg pending.
Ectopic Pregnancy ... 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
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
axial (spine, shoulders ... lasting > 30 mins - 1 ... Very hard to get out ... Crystal induced (Gout ... fever • Lyme • Gout
Ruptured AAA on POCUS

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