22 results
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
Arthrocentesis - Joint ... Fluid Analysis Effusion ... #Diagnosis #Differential ... Arthrocentesis #Joint ... Syonvial #Fluid #Effusion
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Lyme), reactive arthritis ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... approach #workup #differential ... #diagnosis #arthritis
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential ... Fever/Chills/Joint ... - Septic Arthritis ... : - Reactive arthritis ... #causes #differential
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... - Differential Diagnosis ... “Bamboo Spine” Fusion ... • Reactive arthritis ... Disorders #msk #Differential
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 ... Joint #pain #Differential
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... trauma (e.g., meniscal ... approach #workup #differential ... #diagnosis #arthritis
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... involving small joints ... effusions, reduced ... narrowing) • Ultrasound ... #Rheumatoid #Arthritis
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
rule out septic arthritis ... 50,000 #Diagnosis #Differential ... Arthrocentesis #Joint ... Syonvial #Fluid #Effusion ... Septic #Infective #Arthritis
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
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Tender on top of ... showed effusion ... effusion. ... #Effusion #POCUS ... #clinical #ultrasound