11 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... ): • Septic joint ... • WBC >20k: Septic ... #Joint #Pain #MSK ... #rheumatology #
Anterior Shoulder Dislocation Pre and Post-Reduction on Point of Care Ultrasound (POCUS)

Using #POCUS to identify an
on Point of Care ... Ultrasound (POCUS ... injection for pain ... Reduction #POCUS #Ultrasound ... #Cinical #MSK
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
hands/feet, knees, shoulders ... pain / swelling ... narrowing) • Ultrasound ... exam and imaging Treatment ... diagnosis #management #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... axial (spine, shoulders ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... with joint-space ... • This case should ... mri #clinical #Radiology ... #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
pain. ... AC joint septic ... AC joint septic ... POCUS #clinical #ultrasound ... #MSK
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
presents with ankle pain ... found to have septic ... University of Michigan Ultrasound ... POCUS #clinical #ultrasound ... #msk #infected
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... swelling, significant pain ... not possible • Ultrasound ... #rheumatology
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 ... MUSCULOSKELETAL #MSK ... Atlas #Clinical #Radiology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Diseases • Septic ... ANAs RF test should ... , and low back pain ... diagnosis #testing #Rheumatology