27 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... 3) Number of Joints ... indolent infections (gonorrhea ... (bacterial, gonococcal ... gout, pseudogout, gonorrhea
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
Gonorrhea (Disseminated): skin findings associated with Disseminated Gonococcal Infection (DGI).
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D.
Gonorrhea (Disseminated ... with Disseminated Gonococcal ... Dermatology #SkinRash #Gonorrhea
Gonococcal Infections (Gonorrhea) - CDC 2021 Treatment Guidelines
Recommended Regimen:
 • Uncomplicated infections of the cervix, urethra,
Gonococcal Infections ... (Gonorrhea) - CDC ... • Disseminated gonococcal ... Uncomplicated gonococcal ... #Infections #Gonorrhea
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... • Infectious (Gonococcal ... Oligoarthritis: • Gonorrhea ... • Neisseria gonorrhoeae ... (gonorrhea) •
Septic Arthritis: Pathogenesis and clinical findings
Notes:
- Septic Arthritis is typically monoarticular & the knee is involved
- Typical S.A joint ... most common non-gonnococcal ... Always consider N. gonorrhoeae
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Serological testing • Gonococcal ... : Identify N gonorrhea ... diagnosis #septic #joint
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:
Infectious: gonococcal ... Arthrocentesis #Joint
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... • Disseminated Gonoccocal