Please enable JavaScript.

Coggle requires JavaScript to display documents.

Approach to Joint Pain (Timing and Toxicity (Acute (Trauma :explode: …

- - - - :pencil2:Is it red hot swollen & tender? :hotsprings::fire:
        
        :warning:Dx: Arthrocentesis
        
        Appearance
        
        WBC count
        
        PMN
        
        Gram Stain w/ culture
        
        Crystals?
      - :green_cross: prob OA
        
        Obese pt
        
        no inflammation signs
        
        :pencil2:(Uworld) Unless its a fat old man, then its gout
        
        nodes on joints could be tophi (calcium)
        
        can be non-acute
      - :check:Inllammatory Joint :explode:
        
        # of Joints
        
        >1 : Rheumatological
        
        Seropositive
        
        Lupus
        
        RA
        
        Seronegatives (Spondyloarthropathies)
        
        "Other" CT disorders, :pencil2:prob other organs involved
        
        :pencil2: Dank Mneme: gotta smoke >1 joint to hot box a Rheum
        
        Just 1 joint: See acute causes
- - - - Septic
        
        Pus (opaque) :volcano:
        
        > 50,000
        
        :check: Culture (staph)
        
        :green_cross:Crystals
        
        :pencil2:except Gono/Chlam
        
        NAAT :desert_island:
        
        Chocolate agar :chocolate_bar:
      - Cloudy :cloud:
        
        2000 - <50,000
        
        50% PMN
        
        :green_cross:
        
        :shrug::skin-tone-4:: yeah crystal diseases can be inflammatory, but not just crystal diseases
    - - < 200
        
        25%
        
        :green_cross:
        
        :green_cross:
  - - - 25%
        
        :green_cross:
        
        :green_cross:
- - - - RF
        
        Anti-CCP
        
        RA
        
        dsDNA
        
        Anti-Histone Ab
        
        Anti-Centromere
        
        Anti-Topoisomerase SCL-70
        
        2 more items...
        
        CREST (scleroderma)
        
        Lupus (Rx induced)
        
        Lupus
        
        Lupus Nephritis
        
        RA
      - Lupus