22 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 ... #differential #diagnosis
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 ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... Differential Diagnosis ... Noninflammatory • Trauma ... Joint #pain #Differential ... #Diagnosis #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
left shoulder pain ... Diagnosis? ... #Effusion #POCUS ... #clinical #ultrasound ... #MSK
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... Fever/Chills/Joint ... pain/Night sweats ... #differential #diagnosis ... #msk #physicalexam
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 ... #Rheumatoid #Arthritis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Bone/Joint Causes ... pseudogout • Trauma ... differential #diagnosis ... lower #extremity #msk
Ruptured Ectopic Pregnancy on Pelvic Ultrasound
25 y/o f w acute abd pain and vaginal bleeding. Upreg
f w acute abd pain ... and vaginal bleeding ... useful in non-trauma ... rapid, life-saving diagnosis ... #clinical #POCUS
Ankle Arthrocentesis on POCUS

This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
traumatic ankle pain ... PoCUS can detect ... Absence of a joint ... a septic joint unlikely ... #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 ... POCUS revealed joint ... #ultrasound #MSK