10 results
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 ... - Septic Arthritis ... (1%) - Watch out ... : - Gout - Pseudo ... gout - Osteoarthritis
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... and great toe pain-MTP ... Ankle block with ... MSU crystals=Gout ... #MSK #Toe
Ankle Arthrocentesis on POCUS

This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
Ankle Arthrocentesis ... pain & swelling ... makes a septic ... clinical #POCUS #ultrasound ... #msk
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
pain and swelling ... flowing in and out ... found to have septic ... POCUS #clinical #ultrasound ... #msk #infected
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 ... include forefoot, ankles
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
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Monoarthritis • Septic ... Crystalline - Gout ... “Bamboo Spine” Fusion ... Erythematosus (SLE), should ... Joint #Disorders #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... include forefoot, ankles ... swelling, significant pain ... not possible • Ultrasound ... Dual-energy CT → MSU
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
with severe left shoulder ... pain. ... Tender on top of shoulder ... POCUS #clinical #ultrasound ... #MSK
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... or without back pain ... • Must rule out ... , MOG-IgG test should ... need to be ruled out