10 results
Arthrocentesis of synovial fluid - Interpretation
 - Normal
 - Noninflammatory	
 - Inflammatory	
 - Septic

Viscosity of synovial
Arthrocentesis of ... with synovial WBC ... #Joint #Syonvial ... #Fluid #Effusion ... 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:
TRANSPARENCY VISCOSITY WBC ... #Diagnosis #Arthrocentesis ... #Joint #Syonvial ... #Fluid #Effusion ... Pseudogout #Septic #Infective
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
WBC <2k: Noninflammatory ... lower limbs) • WBC ... spondyloarthropathies • WBC ... presentation with lower WBC ... #Joint #Pain #MSK
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Viscosity: Low • WBC ... : Variable • WBC ... Viscosity: High • WBC ... diagnosis #septic #joint
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis on POCUS ... WBC/CRP/ESR elevated ... Arthrocentesis-64K ... WBC with no crystals ... #ultrasound #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
, erythema and WBC ... with few WBCs ( ... By: - Chronic Infection ... Rubella Bacterial Infection ... Differential #Diagnosis #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
great toe pain-MTP joint ... POCUS revealed joint ... MTP joint. ... WBC-48K. ... #ultrasound #MSK
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) • CBC ... confirm DAH, r/o infection ... LVEF, pericardial effusion ... sparing of the lung ... gross hematuria, RBC
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
: • Pleural effusions ... : • Joint pain ... arthropathy • 90% joints ... titers > 1:80 • CBC ... and leukemia • Lung
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... sex • Metabolic syndrome ... Fluid Testing: • WBCs ... Diagnose concomitant infection ... Uncertain diagnosis or arthrocentesis