9 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... for cell count, culture ... neuropathy so trauma ... get bacterial seeding ... #Joint #Pain #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 ... or Care Ultrasound ... Biceps tendon rupture ... #clinical #MSK
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS)

Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... of Care Ultrasound ... #Tear #MSK #Clinical ... #POCUS #Ultrasound
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
deposition in joints ... attacks • Other joints ... elbows, Achilles tendon ... not possible • Ultrasound ... Dual-energy CT → MSU
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Acromioclavicular (AC) Joint ... Tender on top of ... 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
hand, where it joins ... whether through trauma ... , MRI or ultrasound ... #subluxation #clinical ... Orthopedics #Wrist #msk