Assessment & Plan (short)
# Inflammatory Arthritis (monoarticular, concern for septic)
New monoarticular arthritis of *** joint. With*** limited range of motion and severe pain concerning for septic vs crystalline joint. No history of recent infection, RA, prosthetic joint, or IVDU. Sexual history notable for ***. Appreciate orthopedics consult and joint tap.
- Serum: CBC, CMP, INR, BCx x2. Consider Uric acid, A1c, HIV, ESR, CRP per clinical scenario
- Synovial fluid: CBC diff, Bacterial GS/Cx, crystalline analysis
- XR of joint, additional imaging per orthopedics
- Empiric abx: Consider Vancomycin Ceftriaxone
- Pain control:
- NPO
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Originally created: March 3, 2020 by Eric Lee
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