15 results
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Septic Arthritis ... (1%) - Watch out ... : - Gout - Pseudo ... gout - Osteoarthritis ... differential #diagnosis #msk
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
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Differential Diagnosis Algorithm ... Monoarthritis • Septic ... Crystalline - Gout ... “Bamboo Spine” Fusion ... Erythematosus (SLE), should
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Aspiration of MTP Gout ... In-plane ultrasound ... small. 1st MTP gout ... Aspiration #MTP #Gout ... #msk #toe
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... DM/HTN (no hx gout ... Just tx as gout? ... MSU crystals=Gout ... #MSK #Toe
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
Lung Ultrasound ... sequentially rule out ... distributive shock, i.e. septic ... FALLS #protocol #algorithm ... #Lung #Ultrasound
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Culture: Negative Septic ... analysis: • MSU ... : Gout • CPPD: ... rav7ks #Knee #Effusions
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
with severe left shoulder ... Tender on top of shoulder ... AC joint showed effusion ... POCUS #clinical #ultrasound ... #MSK
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
mycobacterium without effusion ... History of gout. ... Clinically no effusion ... 1) even with gout ... arthritis 3) ultrasound