13 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 ... Worry about late prosthetic ... #Joint #Pain #MSK
Ankle Arthrocentesis on POCUS

This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
Absence of a joint ... makes a septic joint ... #effusion #clinical ... #POCUS #ultrasound ... #msk
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 ... #Effusion #Clinical ... #POCUS #ultrasound ... #MSK #Toe
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... away from bone/joint ... Tophus #tophi #clinical ... #POCUS #ultrasound ... #msk #rheumatology
Biceps Tendon Rupture and Hematoma on Point or Care Ultrasound (POCUS)

Anticoagulated guy bruises to arm and
and Hematoma on Point ... or Care Ultrasound ... (POCUS) Anticoagulated ... #POCUS #Ultrasound ... #clinical #MSK
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
Suprapatellar Hematoma on POCUS
Before knee arthrocentesis, be sure fluid is inside joint. Hypoechoic suprapatellar lesion, partly
Suprapatellar Hematoma on POCUS ... Before knee arthrocentesis ... fluid is inside joint ... #ultrasound #clinical ... #msk #knee
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS)

Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... (POCUS) Case ... Complete #Tear #MSK ... #Clinical #POCUS
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 ... not possible • Ultrasound ... Dual-energy CT → MSU
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
on POCUS Young ... flowing in and out ... University of Michigan Ultrasound ... #POCUS #clinical ... #ultrasound #msk