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diagnosis arthritis differential joint septic msk analysis arthrocentesis disease fluid management rheumatology aspiration cppd effusion infective interpretation monoarticular pain syonvial
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: nongonococcal ... Table #Aspiration #Pseudogout
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 Septic Arthritis - Diagnosis and Management Summary Clinical Exam: hot, swollen, pain with passive AND active ROM
osteoarthritis, gout, pseudogout ... painful = bacterial nongonococcal
Arthrocentesis - Joint Fluid Analysis Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: OA,
arthritis SLE, , RF , Pseudogout ... Table #Aspiration #Pseudogout
CDC Sexually Transmitted Infections (STI) Treatment Guidelines, 2021 • Bacterial Vaginosis • Cervicitis • Chlamydial Infections
Lymphogranuloma Venereum • Nongonococcal
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
Pseudogout: pathogenesis and clinical findings - Idiopathic (vast majority of cases) -> Mechanism unknown - Familial
Pseudogout: pathogenesis ... Chondrocalcinosis #Pseudogout
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Podagra, Tophi) • Pseudogout
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Crystals - “Pseudogout
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Gout • CPPD: Pseudogout
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