21 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
): • Septic joint ... reactive arthritis, gout ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... • This case should ... • Gout can present ... Gout is relatively
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
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... Monoarthritis • Septic ... Crystalline - Gout ... Erythematosus (SLE), should ... #Disorders #msk
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 ... #Diagnosis #MSK
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... joint 50 yo male ... pain. ... 1105516919841525761 #Gout ... #POCUS #Ultrasound
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/Night sweats ... (1%) - Watch out ... Effusions: - Gout ... - Pseudo gout
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
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
presents with ankle pain ... flowing in and out ... found to have septic ... 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 ... Dual-energy CT → MSU