7 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... for cell count, culture ... neuropathy so trauma ... #Joint #Pain #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
No trauma. ... Gram stain neg (culture ... MSU crystals=Gout ... #Effusion #Clinical ... #MSK #Toe
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... deposition in joints ... attacks • Other joints ... elbows, Achilles tendon ... not possible • Ultrasound
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Tender on top of ... Diagnosis? ... Culture MRSA. ... Effusion #POCUS #clinical ... #ultrasound #MSK
Hemoperitoneum from ruptured spleen - Pelvic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents with syncope.
Hemoperitoneum from ruptured ... before passing out ... Key Point: Significant ... Hemoperitoneum #clinical ... #ultrasound #pocus
Hemoperitoneum and Hemothorax from ruptured spleen - Perihepatic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents
Hemothorax from ruptured ... before passing out ... Key Point: Significant ... Hemoperitoneum #Hemothorax #clinical ... #ultrasound #pocus
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
whether through trauma ... ECU Subluxation diagnosed ... , MRI or ultrasound ... #subluxation #clinical ... Orthopedics #Wrist #msk