8 results
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Nodules • RA • Gout ... Tophi - Gout ... Inflammation of ear ... Musculoskeletal System Tender ... #joint #pain #differential
Achilles tendon rupture on POCUS

Adhikari's Image of the Wk: Achilles tendon rupture. Look for disruption of
confuse w/partial tears ... Arizona Ultrasound ... #clinical #ultrasound ... #clinical #msk ... #orthopedics
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Patella (e.g., Tendon ... Rupture, Dislocation ... Deformity #Limp #MSK ... #Differential # ... Diagnosis #Algorithm #Orthopedics
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... , gout or pseudogout ... for cell count, culture ... #Joint #Pain #MSK ... approach #workup #differential
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Tender on top of ... Culture MRSA. ... #Effusion #POCUS ... #clinical #ultrasound ... #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
frequent attacks • Arthritis ... elbows, Achilles tendon ... not possible • Ultrasound ... Dual-energy CT → MSU ... 2 attacks in a year
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... diminished, or tender ... purpura, joint & gut ... #Vasculitis #Differential
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... , obstructive pulmonary ... well as inner ear ... diminished, or tender ... Vessels: Supply gut