22 results
diagnosis differential arthritis joint rheumatology septic msk analysis arthrocentesis cppd disease fluid gout management aspiration effusion infective interpretation monoarthritis monoarticular
Arthrocentesis - Joint Fluid Analysis Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: OA,
arthritis SLE, , RF , Pseudogout ... (positively birefringent ... Gout (negatively birefringent ... Table #Aspiration #Pseudogout
Pseudogout: pathogenesis and clinical findings - Idiopathic (vast majority of cases) -> Mechanism unknown - Familial
Pseudogout: pathogenesis ... Crystals - Positively birefringent ... Chondrocalcinosis #Pseudogout
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pseudogout Summary ... Weakly positively birefringent ... or not birefringent ... chondrocalcinosis Acute Pseudogout ... #Pseudogout #CPPD
Monoarthritis - Differential Diagnosis Infection (Acute): - S. aureus (most common) - S. pneumonia - Salmonella (in
early in dz, neg birefringent ... /l wrists, pos birefringent
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:
Table #Aspiration #Pseudogout
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 Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
arthritis, gout or pseudogout ... Spondyloarthropathies, gout, pseudogout ... Rhomboid, blue = pseudogout
Arthrocentesis of synovial fluid - Interpretation - Normal - Noninflammatory - Inflammatory - Septic Viscosity of synovial
Table #Aspiration #Pseudogout
Approach to Gout Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals Treatment: • Weight loss, diet, d/c culprit
Needle-shaped, negative birefringent
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
Weakly positively birefringent ... or not birefringent ... Needle-shaped, negatively birefringent
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Podagra, Tophi) • Pseudogout
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