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 ... Gout is relatively ... #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
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Differential Diagnosis Algorithm ... Monoarthritis • Septic ... Crystalline - Gout ... Erythematosus (SLE), should ... Joint #Disorders #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 ... Wrist, MCP, or shoulder ... #Comparison #rheumatology
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
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... joint suggests gout ... Herbst @EUSmkh #Gout ... clinical #POCUS #ultrasound ... #msk #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

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

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... Conditions for Gout ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
MUSCULOSKELETAL ULTRASOUND ... to fibroadipose septa ... honeycomb’ or ‘pepper pot ... interrogation as it should ... MUSCULOSKELETAL #MSK