2642 results
Gouty arthritis of the shoulder joint

50 yo male presented with shoulder pain.

Note double contour sign at
Gouty arthritis ... deposition of crystal ... 1105516919841525761 #Gout ... Shoulder #Clinical #POCUS ... #Ultrasound #Crystals
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
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
on POCUS 50s male ... POCUS revealed joint ... MSU crystals=Gout ... POCUS for the win ... Effusion #Clinical #POCUS
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
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: 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
Hippuric Acid Crystals on Urine Microscopy

This crystal is present in the urine of people working with
Hippuric Acid Crystals ... Microscopy This crystal
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... negative birefringent crystals ... flares/year 2) Gouty ... NUIM_Chiefs #gout
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 ... Spondyloarthropathies, gout ... Parallel, yellow = gout