Why would you do an arthrocentesis for the following case? - ProProfs Discuss
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Why would you do an arthrocentesis for the following case?

A 46 year old male presents with an isolated swollen knee joint.  He has increased pain with both passive and active range of motion of the joint.

Asked by Hunter, Last updated: Oct 20, 2020

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John Smith

John Smith

John Smith
John Smith

Answered Sep 08, 2016

Arthrocentesis is contraindicated if infection of any kind covers the joint-one of the emergency indications for arthrocentesis is obtaining joint fluid for analysis. arthrocentesis is contraindicated if infection of any kind covers the area to be punctured. the synovial fluid should be sent for cell count, differential, grams stain, crystal analysis, and culture. a positive grams stain is diagnostic, but a negative result does not rule out septic arthritis, therefore cultures should always be obtained. the likelihood ratio for septic arthritis increases as the joint wbc rises, however low wbc counts do occur early in infectious arthritis and partially treated arthritis. most of the cells in both septic and severe inflammatory arthritis are pmns. cell counts should not be used to absolutely rule out a septic etiology; bacterial cultures should be obtained. the most serious complication of arthrocentesis is introducing infection into the joint space. other complications include bleeding, allergic reaction to anesthetic agents, dry taps. (chapter 114)
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