8 results
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Acromioclavicular ... Arthritis on POCUS ... WBC/CRP/ESR elevated ... Arthrocentesis-64K WBC ... #ultrasound #MSK
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 ... MTP joint. ... WBC-48K. ... #ultrasound #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
suggested by warmth, effusion ... , erythema and WBC ... with few WBCs ( ... constitutional symptoms ... Differential #Diagnosis #MSK
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... absence of intrinsic lung ... Arterial blood gas (ABC ... on radioactive lung ... resolution of symptoms
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
if high risk if WBC ... HoTN, edema and effusions ... Diagnosis: >3 symptoms ... QD until normal WBC ... APML #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) • CBC ... LVEF, pericardial effusion ... or serologies + symptoms ... sparing of the lung ... gross hematuria, RBC
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
: • Pleural effusions ... : • Joint pain ... arthropathy • 90% joints ... Induced Lupus: • Symptoms ... titers > 1:80 • CBC
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Dermatomyositis Symptoms ... Polymyositis Symptoms ... Antisynthetase syndrome ... : Fever, joint pain ... Other Diseases: • PBC