9 results
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS)

Case of the Week! 30 yo M presented
Ultrasound (POCUS ... presented with R calf pain ... Ruptured #Complete #Tear ... #MSK #Clinical ... #POCUS #Ultrasound
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... tend to bear the ... #Degenerative #Comparison ... #Versus #MSK #JointDisease ... #JointPain #Diagnosis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... Adjacent bursa • Tendon ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis on POCUS ... left shoulder pain ... Tender on top of ... Diagnosis? ... #ultrasound #MSK
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Wilson's disease Pulmonary ... Inflammation of ear ... Musculoskeletal System Tender ... #pain #differential ... #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diminished, or tender ... vesicular eruption • Joints ... Palpable purpura, joint ... involvement, abdominal pain ... #Rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... elbows, Achilles tendon ... not possible • Ultrasound ... management #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... vesicular eruption - Joints ... well as inner ear ... diminished, or tender ... #rheumatology #
Left Forearm Abscess on Point of Care Ultrasound (POCUS)

Our patient was a 19-year-old male with past
was a 19-year-old ... of left elbow pain ... This led to the diagnosis ... Forearm #Abscess #MSK ... #POCUS #Ultrasound