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diagnosis clinical pocus rheumatology differential effusion septic pathophysiology analysis arthrocentesis causes cyst fluid gout signs suprapatellar symptoms workup abscess aspiration
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
Inflammatory arthritis ... Viscosity: Low • WBC ... : Variable • WBC ... Viscosity: High • WBC ... diagnosis #septic #joint
Septic Arthritis: Pathogenesis and clinical findings Notes: - Septic Arthritis is typically monoarticular & the knee is involved
Septic Arthritis ... Notes: - Septic Arthritis ... monoarticular & the knee ... - Typical S.A joint ... clarity, >50000 WBC
Septic arthritis of the elbow on Point of Care Ultrasound (POCUS) 66M w painful, swollen R elbow
Septic arthritis ... of Care Ultrasound ... Synovial fluid WBC ... UAB_Sono #Septic #arthritis ... #elbow #Joint #
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 Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
Septic Arthritis ... WBC/CRP/ESR elevated ... Arthrocentesis-64K WBC ... POCUS #clinical #ultrasound ... #MSK
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 Arthrocentesis of synovial fluid - Interpretation - Normal - Noninflammatory - Inflammatory - Septic Viscosity of synovial
rule out septic arthritis ... with synovial WBC ... Arthrocentesis #Joint ... Septic #Infective #Arthritis
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 ... Arthrocentesis #Joint ... Septic #Infective #Arthritis
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 Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Fever/Chills/Joint ... Effusions - Septic Arthritis ... : - Reactive arthritis ... RA/Idiopathic arthritis ... differential #diagnosis #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... , erythema and WBC ... • How many joints ... effusion with few WBCs ... #Diagnosis #MSK
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... involving small joints ... of hands/feet, knees ... narrowing) • Ultrasound ... #Rheumatoid #Arthritis
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