SAQ 362 – Rheumatology – septic arthritis with urate crystals

Marked out of 10.00

A 63-year-old man presents with a painful red left elbow after possible minor trauma one week earlier. He feels generally well, has normal vital signs, reduced range of motion, global joint tenderness, and arthrocentesis is performed.

Test Result
Appearance Turbid
White cells 137200 x 10^6/L
Red cells 140 x 10^6/L
Wet film + urate crystals
Pus cells +++
Gram-positive cocci Nil
Gram-positive bacilli Nil
Gram-negative cocci Nil
Gram-negative bacilli Nil
Yeast Nil

List factors that should be covered when consenting for arthrocentesis.

(Marked out of 5.0)


/ 5

Interpret the synovial fluid results and give your provisional diagnosis.

(Marked out of 2.0)


/ 2

Outline management.

(Marked out of 3.0)


/ 3

Total Score: 0 / 10

Percentage: 0%

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