7 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... OA *Always do arthrocentesis ... #Joint #Pain #MSK ... #rheumatology #
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Arthrocentesis ... Mucin clot: Good to ... : Gout • CPPD: ... #joint #fluid #
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
The tophus over ... the joint suggests ... clinical #POCUS #ultrasound ... #msk #rheumatology ... #labeled
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Tender on top of ... Arthrocentesis-64K ... AC joint septic ... #clinical #ultrasound ... #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... without using ultrasound ... MSU crystals=Gout ... Labeled Schematic ... #MSK #Toe
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Inflammatory Versus ... fever • Lyme • Gout ... Differential #Diagnosis #MSK ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... Uncertain diagnosis or arthrocentesis ... not possible • Ultrasound ... management #treatment #rheumatology