14 results
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
Arthrocentesis - ... Joint Fluid Analysis ... #Diagnosis #Differential ... #Arthrocentesis ... #Joint #Syonvial
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
Arthrocentesis of ... rule out septic arthritis ... ; however, the diagnosis ... #Joint #Syonvial ... #Fluid #Effusion
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... OA *Always do arthrocentesis ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... #differential #diagnosis
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:
nongonococcal ) #Diagnosis ... #Arthrocentesis ... #Joint #Syonvial ... #Fluid #Effusion ... Septic #Infective #Arthritis
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Tender on top of ... Diagnosis? ... showed effusion ... Arthrocentesis-64K ... #clinical #ultrasound
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... effusions, reduced ... narrowing) • Ultrasound ... DIAGNOSIS based ... #Rheumatoid #Arthritis
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Arthrocentesis ... Inflammatory arthritis ... Interpretation #diagnosis ... #septic #joint
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... suggested by warmth, effusion ... the morning • Effusion ... Noninflammatory • Trauma ... #Diagnosis #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... No trauma. ... using ultrasound ... MTP joint. ... Clinical #POCUS #ultrasound
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
MTP Septic arthritis ... mycobacterium without effusion ... Clinically no effusion ... 3) ultrasound ... clinical #pocus #joint