8 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... -60 minutes or longer ... 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
Tender on top of ... Diagnosis? ... #Effusion #POCUS ... #clinical #ultrasound ... #MSK
Calf Muscle Hematoma on POCUS

50 year old male playing tennis felt a pop in his leg.
Diagnosis: “Tennis ... vs Peroneus tendon ... #clinical #ultrasound ... #msk #orthopedics ... #sports #labeled
Flexor Tenosynovitis on POCUS

Which of the following diagnoses does this clip best support?
Resolution: flexor tenosynovitis (majority
the following diagnoses ... around the flexor tendon ... Labeled Schematic ... #MSK #clinical ... #ultrasound #Finger
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... diminished, or tender ... vesicular eruption • Joints ... Palpable purpura, joint ... episcleritis as well as inner
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... ankles, knees, fingers ... frequent attacks • Arthritis ... elbows, Achilles tendon ... not possible • Ultrasound
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... vesicular eruption - Joints ... episcleritis as well as inner ... ear disease ... diminished, or tender
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
system: small-fiber ... thickening or effusion ... phenomenon (16%) MSK ... Arthralgia and Arthritis ... Symptomatic: artificial tears