22 results
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Management Summary ... hot, swollen, pain ... osteoarthritis, gout ... osteomyelitis, trauma ... unable to rule out
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 ... No trauma. ... MSU crystals=Gout ... #ultrasound #MSK
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... after surgery/trauma ... weird joints (shoulders ... onset of swelling, pain ... Wrist, MCP, or shoulder
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
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Arthritis • Gout ... Poikilothermia • Septic ... #differential #diagnosis ... lower #extremity #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
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... and Management ... swelling, significant pain ... not possible • Ultrasound ... #diagnosis #management
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

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