8 results
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
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
Tophaceous Gouty Arthritis 

#Tophaceous #Gout #Arthritis #clinical #video #rheumatology #hands #physicalexam #tophi
Tophaceous Gouty ... #Tophaceous #Gout ... clinical #video #rheumatology ... #physicalexam #tophi
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 ... NUIM_Chiefs #gout ... treatment #ULT #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
fingers, wrist, elbow ... cellulitis mimic, bursitis ... + tophiTophi ... level >9 mg/dL • Tophi ... management #treatment #rheumatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... These are CLASSIC gouty ... • Gouty tophus ... and soft-tissue tophi ... diagnosis #msk #rheumatology
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 ... 3) 2+ gout flares ... Management #treatment #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Nodules • RA • Gout ... Sarcoidosis • Tophi ... - Gout ... differential #diagnosis #rheumatology