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
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
on POCUS Young ... flowing in and out ... found to have septic ... arthritis and osteomyelitis ... #msk #infected
Posterior Shoulder Dislocation on POCUS

The team wasn't sure if shoulder had been reduced. Rather than send
Dislocation on POCUS ... Rather than send out ... #Dislocation #POCUS ... #clinical #ultrasound ... #MSK #Anatomy
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Monoarthritis • Septic ... Crystalline - Gout ... Erythematosus (SLE), should ... have other symptoms ... 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 ... include forefoot, ankles
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... of the shoulder ... presented with shoulder ... 1105516919841525761 #Gout ... #POCUS #Ultrasound
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
axial (spine, shoulders ... constitutional symptoms ... Very hard to get out ... Crystal induced (Gout ... fever • Lyme • Gout
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 ... #ultrasound #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Arthritis on POCUS ... with severe left shoulder ... 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 ... include forefoot, ankles ... frequent attacks • Arthritis ... not possible • Ultrasound ... Dual-energy CT → MSU