6 results
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 ... #Gout #Effusion
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Noninflammatory • Trauma ... Crystal induced (Gout ... fever • Lyme • Gout ... #Diagnosis #MSK ... #rheumatology #
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... neuropathy so trauma ... get bacterial seeding ... #Joint #Pain #MSK ... #rheumatology #
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
after surgery/trauma ... onset of swelling, pain ... locations: Wrist, MCP ... swelling, significant pain ... #Comparison #rheumatology
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... inflammatory) • joint pain ... nodules, joint effusions ... narrowing) • Ultrasound ... diagnosis #management #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
swelling, significant pain ... frequent attacks • Arthritis ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology