1371 results
Talar Gout on POCUS

Got the gouch! Talus shown with erosion, overhanging edge, and hyperemia at eroded
Talar Gout on POCUS ... Got the gouch ... Tap + MSU crystals ... #Talar #Talus #Gout ... #POCUS #MSK #Clinical
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Crystalline - Gout ... - Uric Acid Crystals ... Pyrophosphate Dihydrate Crystals ... Amy Chung, MD, MSc ... Joint #Disorders #msk
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
mycobacterial), RA, crystal ... reactive arthritis, gout ... culture, look for crystals ... Parallel, yellow = gout ... #Joint #Pain #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... DM/HTN (no hx gout ... Just tx as gout? ... MSU crystals=Gout ... POCUS #ultrasound #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Very hard to get out ... Inflammatory • Crystal ... induced (Gout/Pseudogout ... fever • Lyme • Gout ... Differential #Diagnosis #MSK
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
calcium to form CPP crystals ... Acute CPP Crystal ... Chronic CPP Crystal ... to phagocytosed crystals ... Extracellular crystals
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
Clarity, WCC, PMN, Crystals ... positively birefringent crystals ... ), Gout (negatively ... birefringent crystals
Gout: Pathogenesis and Clinical Findings
 - Conditions of rapid cell turnover: hemolysis, psoriasis, lymphoproliferative disorders
 -
Gout: Pathogenesis ... phagocytose the crystal ... Needle-shaped uric acid crystals ... Chronic tophaceous gout ... Complications #Gout
Sulfa Crystals on Urine Microscopy
Sulfa Crystal!  Drug-induced crystalluria is a cause of acute renal failure
Sulfa Crystals on ... Microscopy Sulfa Crystal ... TELMALEMOS10 #Sulfa #Crystals
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... • Gouty tophus ... - **MSK rads ... Radiology #diagnosis #msk