19 results
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Monoarthritis • Septic ... Crystalline - Gout ... Erythematosus (SLE), should ... have other symptoms ... Joint #Disorders #msk
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Knee Effusions - Septic ... (1%) - Watch out ... Effusions: - Gout ... - Pseudo gout ... differential #diagnosis #msk
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Acromioclavicular (AC) Joint Septic ... Arthritis on POCUS ... AC joint septic ... AC joint septic ... #ultrasound #MSK
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
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
MTP Septic arthritis ... History of gout. ... But concern for septic ... 1) even with gout ... , worry about septic
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
Lung Ultrasound ... cardiac and lung ultrasound ... sequentially rule out ... distributive shock, i.e. septic ... Shock #Fluids #POCUS
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
Ankle Joint on POCUS ... flowing in and out ... found to have septic ... arthritis and osteomyelitis ... #msk #infected
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Inflammatory arthritis ... Culture: Negative Septic ... analysis: • MSU ... : Gout • CPPD: ... Interpretation #diagnosis #septic
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
(1 joint): • Septic ... , gout or pseudogout ... • WBC >20k: Septic ... Spondyloarthropathies, gout ... Parallel, yellow = gout
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