12 results
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
suggested by warmth, effusion ... Noninflammatory • Trauma ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
Young rheumatology ... with effusion on ... Synovitis #Metacarpal #MSK ... #Clinical #Joint ... #Effusion
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
involving small joints ... pain / swelling ... effusions, reduced ... narrowing) • Ultrasound ... diagnosis #management #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 ... Disease: • Pain ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... No trauma. ... without using ultrasound ... Clinical #POCUS #ultrasound ... #MSK #Toe
Ankle Arthrocentesis on POCUS

This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
traumatic ankle pain ... Absence of a joint ... a septic joint unlikely ... clinical #POCUS #ultrasound ... #msk
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

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

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... swelling, significant pain ... not possible • Ultrasound ... management #treatment #rheumatology
Hemoperitoneum from ruptured spleen - Pelvic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents with syncope.
Mild pain for 5 ... Key Point: Significant ... Rebleeding in abdominal ... trauma is common ... Hemoperitoneum #clinical #ultrasound