12 results
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
Analysis Effusion ... birefringent crystals), Gout ... #Diagnosis #Differential ... #Table #Aspiration ... #Pseudogout #Septic
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
does not rule out ... 50,000 #Diagnosis #Differential ... #Effusion #Analysis ... #Table #Aspiration ... #Pseudogout #Septic
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:
Synovial Fluid Analysis ... Joint #Syonvial #Fluid ... #Effusion #Analysis ... #Table #Aspiration ... #Pseudogout #Septic
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders - Differential ... Monoarthritis • Septic ... Crystalline - Gout ... Crystals - “Pseudogout ... “Bamboo Spine” Fusion
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... analysis: • MSU ... : Gout • CPPD: ... Pseudogout Additional ... #joint #fluid #
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Aspiration of MTP ... Gout Effusion ... to maximize fluid ... #MTP #Gout #Effusion ... pocus #ultrasound #msk
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential ... - Septic Arthritis ... : - Gout - Pseudo ... #causes #differential ... #diagnosis #msk
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... Ankle block with ... In-plane aspiration ... MSU crystals=Gout ... POCUS #ultrasound #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
(1 joint): • Septic ... or pseudogout, ... • WBC >20k: Septic ... #Joint #Pain #MSK ... approach #workup #differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... 2000 in synovial fluid ... /Pseudogout) ... /Pseudogout Chronic ... #Diagnosis #MSK