15 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
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 ... #Effusion #Clinical ... #MSK #Toe
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... 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
Approach to Joint ... : Is the pain from ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology ... #approach #workup
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
Young rheumatology ... Florid synovitis of the ... Synovitis #Metacarpal #MSK ... #Clinical #Joint ... #Effusion
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
The tophus over ... the joint suggests ... Tophus #tophi #clinical ... #POCUS #ultrasound ... #msk #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 ... #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 ... • Great toe ( ... swelling, significant pain ... not possible • Ultrasound ... management #treatment #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... synovial fluid • Gout ... urate crystals (gout ... , and low back pain ... ANA and RF (if clinical
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
presents with ankle pain ... flowing in and out ... of the ankle joint ... #POCUS #clinical ... #ultrasound #msk