15 results
Talar Gout on POCUS

Got the gouch! Talus shown with erosion, overhanging edge, and hyperemia at eroded
Talar Gout on POCUS ... Tap + MSU crystals ... #Talar #Talus #Gout ... #POCUS #MSK #Clinical ... #Ankle #Ultrasound
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
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
flowing in and out ... found to have septic ... University of Michigan Ultrasound ... POCUS #clinical #ultrasound ... #msk #infected
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
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... weird joints (shoulders ... disease states Pathophysiology ... include forefoot, ankles ... #Comparison #rheumatology
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... Just tx as gout? ... Ankle block with ... MSU crystals=Gout ... #MSK #Toe
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... include forefoot, ankles ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #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 #