22 results
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
Arthrocentesis - Joint Fluid ... birefringent crystals), Gout ... #Diagnosis #Differential ... Analysis #Table #Aspiration ... #Pseudogout #Septic
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
Arthrocentesis of synovial fluid ... does not rule out ... 50,000 #Diagnosis #Differential ... Analysis #Table #Aspiration ... #Pseudogout #Septic
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... chest drain on POCUS ... With inspiration ... out. ... clinical #video #POCUS
Talar Gout on POCUS

Got the gouch! Talus shown with erosion, overhanging edge, and hyperemia at eroded
Talar Gout on POCUS ... Tap + MSU crystals ... #Talar #Talus #Gout ... #POCUS #MSK #Clinical ... #Ankle #Ultrasound
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Aspiration of MTP ... Gout Effusion ... to maximize fluid ... #clinical #pocus ... #ultrasound #msk
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Monoarticular • Gout ... Podagra, Tophi) • Pseudogout ... -4 joints) • Gout ... Inflammatory #JointPain #MSK ... #Differential #
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders - Differential ... Crystalline - Gout ... Crystals - “Pseudogout ... Joint #Disorders #msk ... #Differential #
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
effusion or to guide aspiration ... Ankle block with ... In-plane aspiration ... MSU crystals=Gout ... #ultrasound #MSK
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
analysis: • MSU ... : Gout • CPPD: ... Pseudogout Additional ... blood/synovial fluid ... septic #joint #fluid
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
reactive arthritis, gout ... or pseudogout, ... , pseudogout, gonorrhea ... #Joint #Pain #MSK ... approach #workup #differential