13 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 ... Effusions - Septic ... (1%) - Watch out ... Gout - Pseudo ... gout - Osteoarthritis
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Culture: Negative Septic ... analysis: • MSU ... : Gout • CPPD: ... Singh @rav7ks #Knee
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 ... and great toe pain-MTP ... Just tx as gout? ... MSU crystals=Gout
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 ... forefoot, ankles, knees
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
Isolated Anterior Cruciate Ligament (ACL) Injury: Pathogenesis and clinical findings
 • Feeling a "pop"
 • Acute
Acute swelling • Pain ... deep in knee ... is "giving out" ... #ACL #Injury #MSK ... #Sports #pathophysiology
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
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... forefoot, ankles, knees ... swelling, significant pain ... not possible • Ultrasound ... Dual-energy CT → MSU
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

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