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clinical diagnosis physicalexam msk video orthopedics sports pocus management ultrasound differential algorithm knee neurology shoulder cardiology radiology pulmonary rheumatology pathophysiology
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 ... CRYSTALS) By ... Arthrocentesis #Joint
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 Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
intracellular urate crystals ... pyrophosphate dihydrate crystals ... spondylitis - Sacroiliac joint ... of the affected joint ... • Sacroiliac joint
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... mycobacterial), RA, crystal ... Number of Joints ... culture, look for crystals ... psoriatic arthritis Crystals
Gout: Pathogenesis and Clinical Findings - Conditions of rapid cell turnover: hemolysis, psoriasis, lymphoproliferative disorders -
easily leaks into joints ... in a peripheral joint ... Neutrophils enter joint ... phagocytose the crystal ... Needle-shaped uric acid crystals
Arthrocentesis - Joint Fluid Analysis Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: OA,
Arthrocentesis - Joint ... Clarity, WCC, PMN, Crystals ... positively birefringent crystals ... negatively birefringent crystals ... Arthrocentesis #Joint
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... present both at rest ... improves quickly with rest ... inflammatory arthritides Crystal ... ochronosis and crystal
Rheumatoid arthritis (RA): X-ray features • Soft tissue swelling (best seen by comparing left & right
tissue swelling (best ... together) • Joint ... closer to the joints ... (Joint deformities ... Best visualized
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Joint Disorders ... Gout - Uric Acid Crystals ... Pyrophosphate Dihydrate Crystals ... Lumbar Spine and SI Joints ... @AmyChung #Joint
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... Acute CPP Crystal ... MCP, or shoulder joints ... deposition in joints ... attacks • Other joints
Chronic Shoulder Pain - Differential Diagnosis Algorithm 4 tests for the AC joint: 1. Direct palpation 2. Cross-arm shoulder
Diagnosis Algorithm 4 tests ... for the AC joint ... after cross-arm test
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