9 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
Biceps Tendon Rupture and Hematoma on Point or Care Ultrasound (POCUS)

Anticoagulated guy bruises to arm and
Biceps Tendon Rupture ... and Hematoma on Point ... UE weakness and pain ... 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 ... presented with R calf pain ... #Tear #MSK #Clinical
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... No trauma. ... Gram stain neg (culture ... Gout #Effusion #Clinical ... #MSK #Toe
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
left shoulder pain ... 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 ... Mild pain for 5 ... 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 ... Mild pain for 5 ... Key Point: Significant ... Hemoperitoneum #Hemothorax #clinical ... #ultrasound #pocus
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... swelling, significant pain ... frequent attacks • Arthritis ... elbows, Achilles tendon ... not possible • Ultrasound
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
whether through trauma ... with a searing pain ... , MRI or ultrasound ... #subluxation #clinical ... Orthopedics #Wrist #msk