14 results
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... • This case should ... • Gout can present ... #Gouty #Arthritis ... #rheumatology
Posterior Shoulder Dislocation on POCUS

The team wasn't sure if shoulder had been reduced. Rather than send
Posterior Shoulder ... wasn't sure if shoulder ... Rather than send out ... POCUS #clinical #ultrasound ... #MSK #Anatomy
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... weird joints (shoulders ... disease states Pathophysiology ... Wrist, MCP, or shoulder ... #Comparison #rheumatology
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Monoarthritis • Septic ... Crystalline - Gout ... • Psoriatic arthritis ... 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 ... presented with shoulder ... 1105516919841525761 #Gout ... #POCUS #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 ... Differential #Diagnosis #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Arthritis on POCUS ... with severe left shoulder ... Tender on top of shoulder ... POCUS #clinical #ultrasound ... #MSK
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
, gout or pseudogout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... frequent attacks • Arthritis ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Diseases • Septic ... synovial fluid • Gout ... urate crystals (gout ... ANAs RF test should