16 results
Hip Arthrocentesis on POCUS - US can help you do this safely!

Dr. Michael I. Prats @PratsEM

#Hip
Hip Arthrocentesis ... Prats @PratsEM #Hip ... #Arthrocentesis ... POCUS #clinical #ultrasound ... #msk #labeled
Hip Arthrocentesis on POCUS
Septic patient with hip pain, why wait for IR? 
Instead perform #POCUS guided
Hip Arthrocentesis ... arthrocentesis ... and OR IUEM Ultrasound ... POCUS #clinical #ultrasound ... #msk
Ultrasound Guided Knee Arthrocentesis 

Use ultrasound for arthrocentesis! More accurate and less painful.
Ultrasound-guided versus landmark in
Ultrasound Guided ... Knee Arthrocentesis ... Use ultrasound ... versus landmark ... pocus #clinical #msk
Ultrasound guided arthrocentesis (knee) with a resident.  Same principles apply for all ultrasound guided procedures.
Ultrasound guided ... arthrocentesis ... on the needle tip ... UltrasoundStuff #Knee #Arthrocentesis ... #MSK
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
Six-step approach to ultrasound-guided ... Use compression ultrasound ... Use a short axis/out-of-plane ... that the needle tip ... #CentralLine #Ultrasound
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
reactive arthritis, gout ... OA *Always do arthrocentesis ... - parvovirus, HIV ... Parallel, yellow = gout ... #Joint #Pain #MSK
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... joint suggests gout ... clinical #POCUS #ultrasound ... #msk #rheumatology ... #labeled
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Inflammatory Versus ... spine, shoulders, hips ... Crystal induced (Gout ... fever • Lyme • Gout ... Differential #Diagnosis #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... Conditions for Gout ... Uncertain diagnosis or arthrocentesis ... not possible • Ultrasound ... Dual-energy CT → MSU
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
without using ultrasound ... MSU crystals=Gout ... Labeled Schematic ... Clinical #POCUS #ultrasound ... #MSK #Toe