23 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Non-bloody: OA, avascular ... Like in this case ... #Joint #Pain #MSK ... #rheumatology #
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
Young rheumatology ... synovitis of the MCP joint ... Synovitis #Metacarpal #MSK ... #Ultrasound #POCUS ... #Clinical #Joint
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 ... tophi #clinical #POCUS ... #ultrasound #msk ... #rheumatology #
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
FLAGS - In all cases ... splenomegaly, abnormal neurology ... , back pain Haematology ... cell disease Rheumatology ... discrepancy, multiple joint
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Avascular necrosis ... BrighamChiefs #Bone #Joint ... differential #diagnosis #causes ... #hematology
Ledderhose disease (plantar fibromatosis) on POCUS

Rheumatology @Rheumatology

#Ledderhose #disease #POCUS #MSK #ultrasound #clinical #plantar #fibromatosis
fibromatosis) on POCUS ... Rheumatology ... @Rheumatology ... Ledderhose #disease #POCUS ... #MSK #ultrasound
Subdeltoid Bursa steroid injection

Rheumatology @Rheumatology

#Subdeltoid #bursa #steroid #injection #shoulder #POCUS #clinical #ultrasound #msk
steroid injection Rheumatology ... @Rheumatology ... injection #shoulder #POCUS ... #clinical #ultrasound ... #msk
Subdeltoid bursa injection anterior of the rotator interval in 8 seconds - POCUS


Rheumatology @Rheumatology

#Subdeltoid #bursa #injection
in 8 seconds - POCUS ... Rheumatology ... @Rheumatology ... #clinical #ultrasound ... #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... categories of joint ... osteopetrosis, avascular ... #Pain #MSK #rheumatology
Fluid aspiration of the subdeltoid bursa in cppd

Rheumatology @Rheumatology

#aspiration #subdeltoid #bursa cppd #shoulder #POCUS #clinical #ultrasound
bursa in cppd Rheumatology ... @Rheumatology ... cppd #shoulder #POCUS ... #clinical #ultrasound ... #msk