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msk clinical differential joint rheumatology management comparison effusions monoarthritis monoarticular physicalexam polyarthritis polyarticular septic shoulder workup abscess ac acromioclavicular algorithm
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 ... Effusions - Septic ... (1%) - Watch out ... Effusions: - Gout ... - Pseudo gout
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 ... forefoot, ankles, knees
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
- Differential Diagnosis ... Monoarthritis • Septic ... Crystalline - Gout ... Erythematosus (SLE), should ... Joint #Disorders #msk
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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 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
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Knee Effusions - ... Inflammatory arthritis ... analysis: • MSU ... : Gout • CPPD: ... Interpretation #diagnosis
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
Arthritis on POCUS ... with severe left shoulder ... pain. ... Diagnosis? ... #ultrasound #MSK
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 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
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... • Gout/pseudogout ... Poikilothermia • Septic ... #differential #diagnosis ... lower #extremity #msk
Purulent Ankle Joint on POCUS Young patient 2 weeks status post ORIF of ankle fracture presents with
presents with ankle pain ... flowing in and out ... found to have septic ... arthritis and osteomyelitis ... #msk #infected
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