9 results
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
MCP Synovitis on ... synovitis of the MCP ... joint with effusion ... @jarayakos #MCP ... #Ultrasound #POCUS
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 ... POCUS revealed joint ... MTP joint. ... #ultrasound #MSK
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... pain / swelling ... effusions, reduced ... narrowing) • Ultrasound ... diagnosis #management #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... neuropathy so trauma ... get bacterial seeding ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... Noninflammatory • Trauma ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
on POCUS IVDU ... left shoulder pain ... #Effusion #POCUS ... #clinical #ultrasound ... #MSK
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
MTP Septic arthritis ... concerning 1st MTP ... 3) ultrasound ... mycobacterium #clinical #pocus ... #joint #MTP #finger
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 ... Gout #Comparison #rheumatology
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
after surgery/trauma ... onset of swelling, pain ... locations: Wrist, MCP ... with acute neck pain ... Deposition #Disease #Rheumatology