11 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 ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
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
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 #
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology ... #approach #workup
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
pain / swelling ... effusions, reduced ... narrowing) • Ultrasound ... Diagnosis: CLINICAL ... diagnosis #management #rheumatology
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
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
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
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 ... Hemoperitoneum #clinical ... #ultrasound #pocus
Hemoperitoneum and Hemothorax from ruptured spleen - Perihepatic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents
Mild pain for 5 ... Key Point: Significant ... Rebleeding in abdominal ... Hemoperitoneum #Hemothorax #clinical ... #ultrasound #pocus