6 results
Olecranon bursitis in gout on POCUS

Note the hyperechogenicity of the synovial fluid (>20000 cells)

Rheumatology @Rheumatology

#olecranon #bursitis
Olecranon bursitis ... in gout on POCUS ... @Rheumatology ... #gout #clinical ... #elbow
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... flares/year 2) Gouty ... tophi 3) Radiographic ... #diagnosis #management ... treatment #ULT #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... fingers, wrist, elbow ... cellulitis mimic, bursitis ... on extensor elbows ... #treatment #rheumatology
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... joint suggests gout ... #Tophus #tophi ... #clinical #POCUS ... ultrasound #msk #rheumatology
Septic Olecranon Bursitis on POCUS

A patient presents with fever to 102F and pain over her olecranon
Septic Olecranon Bursitis ... on POCUS A patient ... best choice for management ... for this septic bursitis ... #POCUS #Elbow #
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
Gout - Management ... Acute Gout Flare ... 1) presence of tophi ... #Management #treatment ... #rheumatology