14 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... ): • Septic joint ... for cell count, culture ... • WBC >20k: Septic ... #Joint #Pain #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Diagnosis? ... Culture MRSA. ... AC joint septic ... #clinical #ultrasound ... #MSK
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... : Negative Septic ... analysis: • MSU ... Interpretation #diagnosis ... #septic #joint
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
or volar plate rupture ... Finger splint • Ortho ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Ankle Arthrocentesis on POCUS

This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
Absence of a joint ... effusion makes ... a septic joint unlikely ... #clinical #POCUS ... #ultrasound #msk
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
needs to be clinically ... • Ortho consult ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
without using ultrasound ... MTP joint. ... Gram stain neg (culture ... #Clinical #POCUS ... #ultrasound #MSK
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
complexes >120 ms ... and fusion beats ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... Electrocardiogram #clinical
Intraarticular Chondroma - MSK Radiology
Imaging Findings:
 • Subtle soft-tissue infrapatellar mass seen obscuring Hoffa's fat pad.
Intraarticular Chondroma - MSK ... • Usually NOT joint ... #mri #clinical ... #Radiology #diagnosis ... #msk
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic ... with overlying effusion ... #Arthritis #clinical ... #POCUS #ultrasound ... #msk #radiology