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clinical diagnosis pocus msk ultrasound video orthopedics physicalexam sports radiology management differential rheumatology test pathophysiology cardiology knee pulmonary shoulder lung
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 ... arthritis, gout or pseudogout ... Spondyloarthropathies, gout, pseudogout ... Rhomboid, blue = pseudogout
Arthrocentesis - Joint Fluid Analysis Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: OA,
Arthrocentesis - Joint ... arthritis SLE, , RF , Pseudogout ... Arthrocentesis #Joint ... Table #Aspiration #Pseudogout
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease - Acute CPPD precipitation into the joint space ->
precipitation into the joint ... crystals -> Acute pseudogout ... precipitation into joint ... selected MCP/PIP joints ... Chondrocalcinosis #Pseudogout
Pseudogout: pathogenesis and clinical findings - Idiopathic (vast majority of cases) -> Mechanism unknown - Familial
Pseudogout: pathogenesis ... crystals from joints ... warm, swollen joint ... sclerosis & cysts, joint ... Chondrocalcinosis #Pseudogout
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint ... Podagra, Tophi) • Pseudogout ... Oligoarticular (1-4 joints ... POLYARTICULAR (>4 joints
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Joint Disorders ... Crystals - “Pseudogout ... Lumbar Spine and SI Joints ... @AmyChung #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:
Arthrocentesis #Joint ... Table #Aspiration #Pseudogout
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 Arthrocentesis of synovial fluid - Interpretation - Normal - Noninflammatory - Inflammatory - Septic Viscosity of synovial
Arthrocentesis #Joint ... Table #Aspiration #Pseudogout
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... • How many joints ... induced (Gout/Pseudogout ... Lyme • Gout/Pseudogout ... #Arthritis #Joint
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Gout • CPPD: Pseudogout ... diagnosis #septic #joint
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