10 results
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
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... : Is the pain from ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology ... #approach #workup
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. ... No trauma. ... MTP joint. ... #MSK #Toe
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... Noninflammatory • Trauma ... Joint #pain #Differential ... #Diagnosis #MSK
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
rheumatology patient ... Florid synovitis of the ... MCP joint with ... Synovitis #Metacarpal #MSK ... #Effusion
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
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
left shoulder pain ... Tender on top of ... showed effusion ... #clinical #ultrasound ... #MSK
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
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout • Great toe ... swelling, significant pain ... frequent attacks • Arthritis ... not possible • Ultrasound ... management #treatment #rheumatology