Page 1 of 1: GOUT

drlouis · Credits: 5374 My Scrapbook

Which test would be the LEAST definitive to differentiate between gout and septic arthritis?
a) Direct microscopy
b) White blood cell count
c) Culture
d) Gram stain

guest · Credits: 78425 My Scrapbook My Reading List 262569 Books

WBC!

drlouis · Credits: 5374 My Scrapbook

YES WBC counts can be variable in both the condition.

sterile culture and negative gram stain and positive for crystals -more in favour for gout.

more often clinicians have burnt their fingers by doing arthrotomy or incision and drainage thinking gout to be septic arthritis.

drkbravva · Credits: 24016 My Scrapbook My Reading List 1 Books

WBC IS RIGHT ANS

drkbravva · Credits: 24016 My Scrapbook My Reading List 1 Books

since --->

Diagnosis of septic arthritis is much more dependent on arthrocentesis for synovial fluid analysis and culture than it is on radiologic imaging. Early plain radiographs are usually normal. Ultrasound is better at diagnosing increased fluid within a joint space but is not specific as to the cause. Many of the radiographic features of bone scan, CT, and MRI are nonspecific and leave the diagnosis of septic arthritis in question
--skinner orthopaedics .

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!