220 results
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
Arthrocentesis - ... Disease Process: OA ... #Differential #Arthrocentesis ... Pseudogout #Septic #Infective
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
or pseudogout, OA ... *Always do arthrocentesis ... • Non-bloody: OA ... with bacterial infection ... prosthetic joint infection
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
Arthrocentesis of ... #Differential #Arthrocentesis ... Pseudogout #Septic #Infective
Monoarthritis - Differential Diagnosis
Infection (Acute):
 - S. aureus (most common)
 - S. pneumonia
 - Salmonella (in
Differential Diagnosis Infection ... - Gonococcal infection ... Infection (Chronic ... Sarcoid - Erosive OA
Anti-infective stewardship, including tips for using anti-infectives wisely, criteria for stepdown from IV to PO dosage
Anti-infective stewardship ... for using anti-infectives ... IV to PO anti-infectives ... medications #table #treatment
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:
#Diagnosis #Arthrocentesis ... Pseudogout #Septic #Infective
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Opioid Analgesia (OA ... Medication Assisted Treatment
Urinary Tract Infection - Treatment UTI
Asymptomatic, Uncomplicated, Complicated 
Uncomplicated,  
Pyelonephritis,  
Complicated, 
Pyelonephritis 

#Management #UTI
Urinary Tract Infection ... - Treatment UTI ... #UrinaryTract #Infection ... #Treatment
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Prosthetic Joint Infection ... sx of relapsed infection ... should prompt arthrocentesis ... CRP and/or do arthrocentesis ... #treatment #Debridement
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
within 1 month of infection ... Osteoarthritis (OA