10 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... ): • Septic joint ... #Joint #Pain #MSK ... rheumatology #approach #workup
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Adjacent bursa • Tendon ... #Pain #MSK #rheumatology ... #approach #workup
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis ... left shoulder pain ... Tender on top of ... septic arthritis ... clinical #ultrasound #MSK
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS)

Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... Care Ultrasound (POCUS ... presented with R calf pain ... Complete #Tear #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Framework Bone/Joint ... • Fracture • Arthritis ... Poikilothermia • Septic ... - Fever/chills ... lower #extremity #msk
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 ... Knee Effusions - Septic ... Arthritis: - ... differential #diagnosis #msk
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic ... Arthritis on POCUS ... presents with pain ... overlying effusion and tendon ... #msk #radiology
Sweet Syndrome

Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
Rash: multiple tender ... Inflammation and pain ... of the joints ( ... erythema - Bacterial sepsis ... Treatment: - Systemic corticosteroids
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
on POCUS Young ... presents with ankle pain ... found to have septic ... arthritis and osteomyelitis ... #ultrasound #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... swelling, significant pain ... frequent attacks • Arthritis ... extensor elbows, Achilles ... tendon, fingers