10 results
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
MTP Septic arthritis ... History of gout. ... Clinically no effusion ... ultrasound can help ... #arthritis #mycobacterium
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Septic Arthritis ... bacilli (19%) - Mycobacterium ... : - Gout - Pseudo ... gout - Osteoarthritis ... differential #diagnosis #msk
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... No trauma. ... MSU crystals=Gout ... #Gout #Effusion ... #ultrasound #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Noninflammatory • Trauma ... Infection • Mycobacterial ... fever • Lyme • Gout ... Lyme disease) • Mycobacterium ... Differential #Diagnosis #MSK
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Gout Effusion ... In-plane ultrasound ... #Gout #Effusion ... #clinical #pocus ... #ultrasound #msk
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Tender on top of ... AC joint showed effusion ... #Arthritis #Effusion ... #POCUS #clinical ... #ultrasound #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
gonorrhea, Lyme, mycobacterial ... (1 joint): • Septic ... neuropathy so trauma ... • WBC >20k: Septic ... #Joint #Pain #MSK
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Arthritis on POCUS ... with overlying effusion ... #Arthritis #clinical ... #POCUS #ultrasound ... #msk #radiology
Wrist Effusion on POCUS

Walking a Resident through how to use PoCUS to locate a wrist effusion
Wrist Effusion on ... and then TAP it ... Step guide coming out ... #POCUS #MSK #clinical ... #ultrasound
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
flowing in and out ... found to have septic ... arthritis and osteomyelitis ... #Joint #POCUS #clinical ... #ultrasound #msk