11 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
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
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
the abdominal aorta ... AAAs should be closely ... hypotension and pain ... move the bowel out ... #Abdominal #Ultrasound
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
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
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
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
pain. ... Diagnosis? ... Culture MRSA. ... #clinical #ultrasound ... #MSK
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
synovial fluid • Gout ... urate crystals (gout ... ANAs RF test should ... CRP level: (1) ... , and low back pain