21 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
reactive arthritis, gout ... for cell count, culture ... Spondyloarthropathies, gout ... Parallel, yellow = gout ... #Joint #Pain #MSK
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... MCP, or shoulder joints ... • Gram stain, culture ... deposition in joints ... Gram stain and culture
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Good to poor • Culture ... clot: poor • Culture ... analysis: • MSU ... : Gout • CPPD: ... diagnosis #septic #joint
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
great toe pain-MTP joint ... POCUS revealed joint ... Gram stain neg (culture ... MSU crystals=Gout ... #ultrasound #MSK
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... away from bone/joint ... suggests gout. ... tophi #clinical #POCUS ... #ultrasound #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Monosodium urate ... deposition in joints ... attacks • Other joints ... Gram stain and culture ... Dual-energy CT → MSU
Acromioclavicular (AC) Joint Anatomy on POCUS

Abhilash Koratala MD - NephroPOCUS @NephroP

#Acromioclavicular #AC #Joint #Anatomy #POCUS #clinical
) Joint Anatomy ... on POCUS Abhilash ... #Joint #Anatomy ... #POCUS #clinical ... #ultrasound #MSK
Biceps Tendon Rupture and Hematoma on Point or Care Ultrasound (POCUS)

Anticoagulated guy bruises to arm and
Biceps Tendon Rupture ... and Hematoma on Point ... Care Ultrasound (POCUS ... #POCUS #Ultrasound ... #clinical #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
on POCUS IVDU ... Scan over AC joint ... Culture MRSA. ... AC joint septic ... clinical #ultrasound #MSK
Type II Acromioclavicular (AC) joint separation
Type I: normal x-ray, sprain
Type II (x-ray as shown above): widened
) joint separation ... joint, clavicle ... displaced <50% due to rupture ... displaced >50% due to rupture ... #ShoulderXRay #MSK