39 results
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
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
Arthrocentesis - Joint Fluid Analysis

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

Viscosity of synovial
Arthrocentesis of ... rule out septic arthritis ... with synovial WBC ... #Differential #Arthrocentesis ... #Joint #Syonvial
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 ... Septic #Infective #Arthritis
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
WBC/CRP/ESR elevated ... Arthrocentesis-64K ... WBC with no crystals ... POCUS #clinical #ultrasound ... #MSK
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 #
Ultrasound guidance for knee arthrocentesis. 

Dr. Stephen Alerhand @SAlerhand

#Knee #Arthrocentesis #POCUS #clinical #ultrasound #MSK
Ultrasound guidance ... for knee arthrocentesis ... @SAlerhand #Knee ... #Arthrocentesis ... #MSK
Ultrasound Guided Knee Arthrocentesis 

Use ultrasound for arthrocentesis! More accurate and less painful.
Ultrasound-guided versus landmark in
Ultrasound Guided ... Knee Arthrocentesis ... versus landmark in knee ... Kim @dan___kim #Knee ... pocus #clinical #msk