23 results
Arthrocentesis - Joint Fluid Analysis

Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: 
OA,
Fluid Analysis Effusion ... birefringent crystals), Gout ... , Septic arthritis ... Syonvial #Fluid #Effusion ... Aspiration #Pseudogout #Septic
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
MTP Septic arthritis ... History of gout. ... Clinically no effusion ... 1) even with gout ... ultrasound can help
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Septic Arthritis ... (1%) - Watch out ... : - Gout - Pseudo ... gout - Osteoarthritis ... : - Reactive arthritis
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... osteoarthritis, gout ... osteomyelitis, trauma ... unable to rule out ... septic arthritis
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
Inflammatory - Septic ... does not rule out ... septic arthritis ... Syonvial #Fluid #Effusion ... #Infective #Arthritis
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Monoarthritis • Septic ... Crystalline - Gout ... “Bamboo Spine” Fusion ... • Psoriatic arthritis ... • Rheumatoid 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 ... #Gout #Effusion ... Clinical #POCUS #ultrasound
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Tender on top of ... AC joint showed effusion ... glenohumeral joint effusion ... #Arthritis #Effusion ... POCUS #clinical #ultrasound
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Inflammatory arthritis ... Culture: Negative Septic ... analysis: • MSU: Gout ... rav7ks #Knee #Effusions
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Gout Effusion ... In-plane ultrasound ... gout in this case ... #Gout #Effusion ... clinical #pocus #ultrasound