6 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
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... No trauma. ... MSU crystals=Gout ... #Clinical #POCUS ... #ultrasound #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis ... Tender on top of ... Culture MRSA. ... Effusion #POCUS #clinical ... #ultrasound #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... frequent attacks • Arthritis ... elbows, Achilles tendon ... not possible • Ultrasound
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