65 results
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Septic Arthritis ... : - Reactive arthritis ... - Rheumatoid arthritis ... RA/Idiopathic arthritis ... differential #diagnosis #msk
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
STAIN CULTURE PCR TEST ... Syonvial #Fluid #Effusion ... Septic #Infective #Arthritis
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
“Bamboo Spine” Fusion ... • Psoriatic arthritis ... • Rheumatoid Arthritis ... Amy Chung, MD, MSc ... Joint #Disorders #msk
Massive Pericardial Effusion on Echocardiogram

I recently saw the largest pericardial effusion of my life. Something out
Massive Pericardial Effusion ... largest pericardial effusion ... Something out of a text ... #Pericardial #Effusion ... Echocardiogram #POCUS
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... present both at rest ... Noninflammatory arthritis ... improves quickly with rest ... #Joint #Pain #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
to Joint Pain - Arthritis ... suggested by warmth, effusion ... non-activity, may have effusion ... the morning • Effusion ... Differential #Diagnosis #MSK
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... accessible joint effusion ... the workup • Test ... Syphilis Arthritis-Dermatitis ... Painless) Purulent Arthritis
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... Apical approach had best ... Pericardiocentesis #POCUS ... clinical #cardiology #effusion
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
thrombolysed with SK ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... Echocardiogram #POCUS
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Inflammatory arthritis ... analysis: • MSU ... rav7ks #Knee #Effusions