11 results
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Nodules • RA • Gout ... Tophi - Gout ... Inflammation of ear ... Musculoskeletal System Tender ... #differential #diagnosis
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
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... POCUS revealed joint ... MSU crystals=Gout ... #POCUS #ultrasound ... #MSK #Toe
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
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
History of gout. ... 1) even with gout ... 3) ultrasound ... mycobacterium #clinical #pocus ... #joint #MTP #finger
Gout - Diagnosis and Management Summary

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

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... vesicular eruption - Joints ... ear disease ... diminished, or tender ... Vessels: Supply gut