6 results
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... pain-MTP joint. ... MSU crystals=Gout ... #Gout #Effusion ... #MSK #Toe
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... Noninflammatory • Trauma ... fever • Lyme • Gout ... #Diagnosis #MSK ... #rheumatology #
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Previous joint trauma ... #MSK #rheumatology ... #approach #workup
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
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 ... : • Great toe ... #Comparison #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