6 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
OA *Always do arthrocentesis ... for cell count, culture ... patient had a prosthetic ... #Joint #Pain #MSK ... #rheumatology #
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... Tophus #tophi #clinical ... #POCUS #ultrasound ... #msk #rheumatology ... #labeled
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
POCUS revealed joint ... MSU crystals=Gout ... Labeled Schematic ... #Effusion #Clinical ... #MSK #Toe
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis on POCUS ... Arthrocentesis-64K ... Culture MRSA. ... #clinical #ultrasound ... #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... Uncertain diagnosis or arthrocentesis ... Dual-energy CT → MSU ... management #treatment #rheumatology
Hemoperitoneum and Hemothorax from ruptured spleen - Perihepatic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents
Hemothorax from ruptured ... before passing out ... Labeled Schematic ... Hemoperitoneum #Hemothorax #clinical ... #ultrasound #pocus