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Medstudy Internal Medicine Core Curriculum 19th Edition PDF Download  Form

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infectious our throat IDEs first let's discuss septic arthritis healthy joints are sterile if they become infected it's from the migration of bacteria from another portal of entry damaged or prosthetic joints are most susceptible to infection immunocompromised patients are also prone to septic arthritis always culture suspected portals of entry in addition to the synovial fluid septic arthritis usually presents as an acute mono articular inflammatory arthritis it occurs from seating during bacteremia and is associated with fever and a warm swollen joint synovial fluid aspiration reveals a white count of greater than 50,000 cells per microliter and often greater than a hundred thousand cells per microliter with a neutrophil predominance Gram stain and culture are frequently positive an indolent course with inflammatory fluid and a gram-negative stain suggests mycobacteria fungi or Lyme arthritis no septic joint associations and their portals of entry well staph aureus and strep viridans

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