12 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... indolent infections (gonorrhea ... (bacterial, gonococcal ... gout, pseudogout, gonorrhea ... Like in this case
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Disseminated Gonococcal ... diplococci Neisseria gonorrhoeae ... an accessible joint ... #Disseminated #Gonococcal ... #Infection #gonorrhea
Gonococcal Ophthalmia Neonatorum (GON) - Figure 1

A 4-day-old girl was brought to the emergency department (ED)
Gonococcal Ophthalmia ... A 4-day-old girl ... Peds #Pediatrics #Gonorrhea ... #Gonococcal #Conjunctivitis
Septic Arthritis: Pathogenesis and clinical findings
Notes:
- Septic Arthritis is typically monoarticular & the knee is involved
involved in >50% of cases ... - Typical S.A joint ... S.A. can also be caused ... most common non-gonnococcal ... Always consider N. gonorrhoeae
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
• Infectious (Gonococcal ... weeks) Can Be Caused ... Oligoarthritis: • Gonorrhea ... • Neisseria gonorrhoeae ... (gonorrhea) •
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... • Disseminated Gonoccocal ... #Orthopedics #Causes
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Serological testing • Gonococcal ... : Identify N gonorrhea ... diagnosis #septic #joint
Gonorrhea: Pathophysiology

 - Neonatal Transmission -> Direct contact of patient mucosa with mother's infected mucosa while
Gonorrhea: Pathophysiology ... - Masking of gonococcal ... antibodies and causes ... protein (Rmp) #Gonorrhea
Gonococcal Ophthalmia Neonatorum (GON) - Figure 2

A 4-day-old girl was brought to the emergency department (ED)
Gonococcal Ophthalmia ... A 4-day-old girl ... Peds #Pediatrics #Gonorrhea ... #Gonococcal #Conjunctivitis
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Causes of Knee Effusions ... Fever/Chills/Joint ... Watch out for: - Gonorrhea ... Knee #Effusions #causes