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SUPPURATIVE ARTHRITIS by AYMAN ABU MEHREM, MD, CABP
SUPPURATIVE ARTHRITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTRODUCTION ,[object Object],[object Object],[object Object],[object Object]
EPIDEMIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object]
ALL PRIMARY CARE PHYSICIANS CARING FOR CHILDREN SHOULD EXPECT TO ENCOUNTER THIS DISEASE
AETIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AETIOLOGY  …..Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOPHYSIOLOGY ,[object Object],[object Object],[object Object],[object Object]
Hematogenous septic arthritis ,[object Object],[object Object]
 
PATHOPHYSIOLOGY, Neonates ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL PRESENTATION ,[object Object],[object Object],[object Object]
THE MOST CONSISTENT SIGN IS PAIN WITH PASSIVE MOTION
CLINICAL PRESENTATION, Neonates ,[object Object],[object Object],[object Object],[object Object]
CLINICAL PRESENTATION, Infants ,[object Object],[object Object],[object Object],[object Object]
CLINICAL PRESENTATION, Older children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL PRESENTATION, Immunocompromised patients ,[object Object],[object Object]
CLINICAL PRESENTATION, Gonococcal ,[object Object],[object Object],[object Object],[object Object],[object Object]
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WORKUP ,[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object]
Lab studies ,[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging studies, Plain X-ray ,[object Object],[object Object]
Frontal radiograph of the pelvis shows radiographic signs suggesting right hip joint effusion: lateral displacement of the femoral epiphysis, subtle bulging of the fat planes
Imaging studies, Ultrasound ,[object Object],[object Object],[object Object]
Illustration of correct technique for parasagittal hip US to rule out effusion. The patient is supine and the transducer is held perpendicular to the bed just lateral to the common femoral artery and vein.
Parasagittal US image of the hip showing joint effusion Parasagittal US image of the right hip shows the normal juxta-articular soft tissue planes
Imaging studies, CT-Scan ,[object Object],[object Object]
Imaging studies, MRI ,[object Object],[object Object],[object Object]
Coronal T1W MR image in a 13 yr old boy with septic arthritis showing right hip effusion.
Imaging studies, MRI ,[object Object],[object Object],[object Object],[object Object]
Imaging studies, Radionuclide ,[object Object],[object Object],[object Object]
Diagnostic procedures:  joint aspiration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic procedures:  joint aspiration, synovial fluid Poor Good Mucin clot 50 - 90 None(<10) Synovial fluid-to-serum glucose diff. (mg/dL) 90 <10 PMN % 10,000 - 250,000 (80,000) 0 - 200 WBC( / μL) Very turbid, white gray Clear-straw color, yellow Appearance Septic arthritis Normal
TREATMENT ,[object Object],[object Object],[object Object]
TREATMENT, Medical therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT, Medical therapy ,[object Object],[object Object],[object Object],[object Object]
TREATMENT, Medical therapy ,[object Object],[object Object]
TREATMENT, Medical therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT, Medical therapy ,[object Object],[object Object],[object Object]
TREATMENT, Medical therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT, Medical therapy ,[object Object],[object Object],[object Object],[object Object]
TREATMENT, Surgical therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT, Physical therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPLICATIONS
COMPLICATIONS
PROGNOSIS & FOLLOW UP ,[object Object],[object Object],[object Object]
CONTROVESIES ,[object Object],[object Object],[object Object]
REFERRANCES ,[object Object],[object Object],[object Object]

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Suppurative Arthritis

  • 1. SUPPURATIVE ARTHRITIS by AYMAN ABU MEHREM, MD, CABP
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  • 5. ALL PRIMARY CARE PHYSICIANS CARING FOR CHILDREN SHOULD EXPECT TO ENCOUNTER THIS DISEASE
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  • 13. THE MOST CONSISTENT SIGN IS PAIN WITH PASSIVE MOTION
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  • 24. Frontal radiograph of the pelvis shows radiographic signs suggesting right hip joint effusion: lateral displacement of the femoral epiphysis, subtle bulging of the fat planes
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  • 26. Illustration of correct technique for parasagittal hip US to rule out effusion. The patient is supine and the transducer is held perpendicular to the bed just lateral to the common femoral artery and vein.
  • 27. Parasagittal US image of the hip showing joint effusion Parasagittal US image of the right hip shows the normal juxta-articular soft tissue planes
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  • 30. Coronal T1W MR image in a 13 yr old boy with septic arthritis showing right hip effusion.
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  • 34. Diagnostic procedures: joint aspiration, synovial fluid Poor Good Mucin clot 50 - 90 None(<10) Synovial fluid-to-serum glucose diff. (mg/dL) 90 <10 PMN % 10,000 - 250,000 (80,000) 0 - 200 WBC( / μL) Very turbid, white gray Clear-straw color, yellow Appearance Septic arthritis Normal
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