32 results
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Disseminated Gonococcal ... the preferred test ... an accessible joint ... the workup • Test ... all patients for HIV
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... (bacterial, gonococcal ... - parvovirus, HIV ... #Joint #Pain #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 ... Infectious: gonococcal ... Arthrocentesis #Joint
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... For intrinsic vs joint ... joint preventing ... finger at MCP joint ... BunnelLittler #Test
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... nociceptors -> Pain with rest ... motion (relieved by rest ... affects the knee hip
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... • Disseminated Gonoccocal ... rash) • Primary HIV
The following graph was prepared based on the latest information on Testing for the Diagnosis of
the Diagnosis of HIV ... days of possible HIV ... At day 10, the HIV ... PCR can detect HIV ... infection to a point
FABER Maneuver: Flexion, ABduction, External Rotation 

Tips to distinguish SI joint pain from other areas of
distinguish SI joint ... : indicates SI joint ... ROM: indicates hip ... How good is this test
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... present both at rest ... improves quickly with rest ... e.g., congenital hip
Acute Retroviral Syndrome
Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection

 •
• Disseminated gonococcal ... Nucleic Acid test ... no diagnostic test ... the first test to ... -1 antibody test