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diagnosis arthritis clinical differential pocus approach effusion gout septic ac acromioclavicular arthrocentesis cell cyst disease effusions fluid hematology interpretation kidney
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... lower limbs) • WBC ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
RBC's Crystal analysis ... : • MSU: Gout ... membrane histo-anthology ... diagnosis #septic #joint ... #fluid #analysis
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... : Is the pain from ... Enthesitis: • Site of pathology ... #Pain #MSK #rheumatology ... #approach #workup
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
, erythema and WBC ... effusion with few WBCs ... - Autoimmune Rheumatologic ... #Diagnosis #MSK ... #rheumatology #
Acromioclavicular (AC) Joint Septic Arthritis on POCUS IVDU with severe left shoulder pain. Can fully range
left shoulder pain ... WBC/CRP/ESR elevated ... Arthrocentesis-64K WBC ... POCUS #clinical #ultrasound ... #MSK
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 MTP Gout Effusion on POCUS 50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... without using ultrasound ... WBC-48K. ... Clinical #POCUS #ultrasound ... #MSK #Toe
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 Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Complete blood count (CBC ... , and low back pain ... Arthritis #laboratory #workup ... diagnosis #testing #Rheumatology
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... swelling, significant pain ... Fluid Testing: • WBCs ... not possible • Ultrasound ... management #treatment #rheumatology
Peripelvic Cyst on Renal POCUS 60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
colicky left flank pain ... UA no blood, WBC ... system stone WBC ... colicky flank pain ... , though exact pathology
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 Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
presents with pain ... • CBC + diff • ... IFE, FLC assay Pathology ... Oncology #Diagnosis #Workup ... #Hematology
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