13 results
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Management Summary Clinical ... hot, swollen, pain ... Ddx: cellulitis, bursitis ... osteoarthritis, gout ... osteomyelitis, trauma
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
• Fracture • Arthritis ... • Gout/pseudogout ... • Trauma • ... epiphysis • Bursitis ... lower #extremity #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
suggested by warmth, effusion ... Noninflammatory • Trauma ... Crystal induced (Gout ... fever • Lyme • Gout ... #Diagnosis #MSK
Septic Olecranon Bursitis on POCUS

A patient presents with fever to 102F and pain over her olecranon
fever to 102F and pain ... An ultrasound over ... #POCUS #Elbow #clinical ... #ultrasound #MSK ... #Ortho
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... Noninflammatory • Bloody: Trauma ... 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 ... and great toe pain-MTP ... No trauma. ... MSU crystals=Gout ... #Effusion #Clinical
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
swelling, significant pain ... frequent attacks • Arthritis ... cellulitis mimic, bursitis ... not possible • Ultrasound ... Dual-energy CT → MSU
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
left shoulder pain ... AC joint showed effusion ... #Effusion #POCUS ... #clinical #ultrasound ... #MSK
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic Arthritis ... presents with pain ... with overlying effusion ... #clinical #POCUS ... #ultrasound #msk
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
in synovitis, bursitis ... proximal muscle pain ... chair, getting out ... for giant cell arteritis ... universally used, ultrasound