10 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder ... Pain - Differential ... tests for the AC ... #Shoulder #Pain ... #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
pain. ... Scan over AC joint ... AC joint septic ... AC joint septic ... #MSK
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... - Differential ... Diagnosis Algorithm ... • Tendon Rupture ... Intraarticular #MSK
Acromioclavicular (AC) Joint Separation on POCUS with overlying hematoma

40yo M presents after falling off his bicycle
Acromioclavicular (AC ... landing onto his R shoulder ... Resolution: AC separation ... Acromioclavicular #AC ... #ultrasound #MSK
Acromioclavicular (AC) Joint Separation on POCUS with overlying hematoma

40yo M presents after falling off his bicycle
Acromioclavicular (AC ... landing onto his R shoulder ... Resolution: AC separation ... Acromioclavicular #AC ... #ultrasound #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... rheumatic fever • Chronic ... for cell count, culture ... #Joint #Pain #MSK ... approach #workup #differential
Subacromial Bursitis on POCUS

Chronic shoulder pain -> #POCUS shows fluid in subacromial bursa, Dx subacromial bursitis
Very
Chronic shoulder ... pain -> #POCUS ... bursitis Very clear view ... Global Ultrasound ... #MSK #Ultrasound
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... axial (spine, shoulders ... #pain #Differential ... #Diagnosis #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 ... swelling, significant pain ... not possible • Ultrasound ... Dual-energy CT → MSU
CABG Graft Pseudoaneurysm

Chest pain post CABG - always worth taking a look!  Large graft pseudoaneurysm!!
Pseudoaneurysm Chest pain ... and emphysema, ask ... chest showed the diagnosis ... anticoags - VCU Ultrasound ... Pseudoaneurysm #clinical #pocus