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diagnosis clinical differential pocus management cardiology algorithm causes ultrasound echocardiogram hepatology radiology hepatic liver ophthalmology pulmonary criticalcare pathophysiology sepsis a4c
Arthrocentesis - Joint Fluid Analysis Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: OA,
arthritis SLE, , RF , Pseudogout ... TB arthritis, Septic ... Table #Aspiration #Pseudogout ... #Septic #Infective
Arthrocentesis of synovial fluid - Interpretation - Normal - Noninflammatory - Inflammatory - Septic Viscosity of synovial
Inflammatory - Septic ... does not rule out septic ... Table #Aspiration #Pseudogout ... #Septic #Infective
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:
Table #Aspiration #Pseudogout ... #Septic #Infective
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 Septic Arthritis - Diagnosis and Management Summary Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... osteoarthritis, gout, pseudogout ... beneficial in septic ... nongonococcal septic ... unable to rule out septic
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
(1 joint): • Septic ... arthritis, gout or pseudogout ... • WBC >20k: Septic ... Spondyloarthropathies, gout, pseudogout ... Rhomboid, blue = pseudogout
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Culture: Negative Septic ... Gout • CPPD: Pseudogout ... Interpretation #diagnosis #septic
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Monoarthritis • Septic ... Crystals - “Pseudogout ... Reiter’s syndrome) Aseptic
Differential Diagnosis of Acute Arthritis Crystal-induced arthritis: Calcium oxalate, gout, cholesterol, pseudogout, hydroxyapatite crystals Infectious arthritis: Bacteria, fungi,
, cholesterol, pseudogout ... Monoarticular #Septic
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 Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Arthritis • Gout/pseudogout ... Poikilothermia • Septic
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Diseases • Septic ... fluid • Gout or pseudogout ... dihydrate crystals (pseudogout
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