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msk clinical joint differential rheumatology septic management effusions knee monoarthritis monoarticular mtp physicalexam polyarthritis polyarticular shoulder workup abscess ac acromioclavicular
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Fever/Chills/Joint pain ... - Septic Arthritis ... (1%) - Watch out ... : - Gout - Pseudo ... gout - Osteoarthritis
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
Arthritis on POCUS ... pain. ... Diagnosis? ... #Arthritis #Effusion ... #ultrasound #MSK
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 Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Monoarthritis • Septic ... Crystalline - Gout ... “Bamboo Spine” Fusion ... Erythematosus (SLE), should ... Joint #Disorders #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 ... #Diagnosis #MSK
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... weird joints (shoulders ... disease states Pathophysiology ... onset of swelling, pain ... Wrist, MCP, or shoulder
Gouty arthritis of the shoulder joint 50 yo male presented with shoulder pain. Note double contour sign at
Gouty arthritis ... of the shoulder ... pain. ... 1105516919841525761 #Gout ... #POCUS #Ultrasound
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 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 ... #POCUS #ultrasound
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 MTP Septic arthritis due to non-tuberculous mycobacterium without effusion We had an immunosuppressed patient with a concerning
MTP Septic arthritis ... History of gout. ... 1) even with gout ... ultrasound can help ... #clinical #pocus
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 Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Knee Effusions - ... Inflammatory arthritis ... analysis: • MSU ... : Gout • CPPD: ... Interpretation #diagnosis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint Pain ... , gout or pseudogout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK
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