TdC 103: Caso Clínico de Monoartrite Aguda episode artwork

EPISODE · Aug 25, 2021 · 44 MIN

TdC 103: Caso Clínico de Monoartrite Aguda

from Ta de Clinicagem · host tadeclinicagem

O Curso TdC de Atualização vai reunir aulas sobre os temas mais frequentes da clínica médica, organizadas para você aprender o que mudou e transformar novas evidências em melhores decisões à beira do leito ou no consultório. Para ativar a notificação da live de lançamento com direito ao desconto imperdível, é só clicar no link abaixo:https://www.youtube.com/watch?v=i_uiG8cKJ3U 🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨Kaue e Raíza discutem um caso de monoartrite aguda apresentado pelo Iago. Quais as causas mais importantes no pronto-socorro? Como iniciar a investigação? O que pedir no líquido sinovial? Minutagem:00:10 Apresentação 00:58 Salves e Recados Iniciais Incluindo Curso TdC de Antibióticos02:50 Apresentação do Caso Clínico Paciente jovem com dor articular e febre04:10 Definição de monoartrite aguda e principais etiologias06:00 Investigação - Anamnese dirigida e exame físico08:30 Retorno do Caso Clínico 10:15 Análise dos Achados do Exame Físico e Sinais Vitais11:10 Exames Complementares Iniciais Laboratoriais e de Imagem12:35 Papel da Artrocentese15:00 Resultado do Líquido Sinovial e Desdobramento do Caso16:00 Diagnóstico Diferencial Detalhado (Artrite Séptica, Doença por Cristais Gota/Pseudogota e Outras)17:40 Artrite séptica20:30 Artrite por gota 22:45 Artrite por pseudogota 23:55 Discussão de Tratamento e Manejo do Caso Clínico Empírico vs. Guiado25:20 O que o caso clínico ensina sobre monoartrite 26:50 EncerramentoReferências: 1. Margaretten ME, Kohlwes J, Moore D, Bent S. Does this adult patient have septic arthritis? JAMA. 2007;297(13):1478-1488 2. Sack K. Monarthritis: differential diagnosis. Am J Med 1997; 102:30S. 3. Mohana-Borges AV, Chung CB, Resnick D. Monoarticular arthritis. Radiol Clin North Am 2004; 42:135. 4. Shmerling RH, Delbanco TL, Tosteson AN, Trentham DE. Synovial fluid tests. What should be ordered? JAMA 1990; 264:1009. 5. McCutchan HJ, Fisher RC. Synovial leukocytosis in infectious arthritis. Clin Orthop Relat Res 1990; :226. 6. Siva C, Velazquez C, Mody A, Brasington R. Diagnosing acute monoarthritis in adults: a practical approach for the family physician. Am Fam Physician. 2003 Jul 1;68(1):83-90. PMID: 12887114. 7. Becker JA, Daily JP, Pohlgeers KM. Acute Monoarthritis: Diagnosis in Adults. Am Fam Physician. 2016 Nov 15;94(10):810-816. PMID: 27929277. 8. Jeong H, Kim AY, Yoon HJ, et al. Clinical courses and predictors of outcomes in patients with monoarthritis: a retrospective study of 171 cases. Int J Rheum Dis. 2014;17(5):502–510. 9. Ma L, Cranney A, Holroyd-Leduc JM. Acute monoarthritis: what is the cause of my patient's painful swollen joint? CMAJ. 2009;180(1):59–65. 10. Baker DG, Schumacher HR Jr. Acute monoarthritis. N Engl J Med. 1993;329(14):1013–1020. 11. Kienhorst LB, Janssens HJ, Fransen J, Janssen M; British Society for Rheumatology. The validation of a diagnostic rule for gout without joint fluid analysis: a prospective study. Rheumatology (Oxford). 2015;54(4):609–614. 12. Bardin T. Gonococcal arthritis. Best Pract Res Clin Rheumatol. 2003;17(2):201–208.13. Davis, Benjamin T., and Mark S. Pasternack. "Case 19-2007: A 19-Year-Old College Student with Fever and Joint Pain." New England Journal of Medicine 356.25 (2007): 2631-2637.

Episode metadata supplied by the publisher feed · Published Aug 25, 2021

Embed this episode

Kaue e Raíza discutem um caso de monoartrite aguda apresentado pelo Iago. Quais as causas mais importantes no pronto-socorro? Como iniciar a investigação? O que pedir no líquido sinovial? Referências: 1) Margaretten ME, Kohlwes J, Moore D, Bent S. Does this adult patient have septic arthritis? JAMA. 2007;297(13):1478-1488 2) Sack K. Monarthritis: differential diagnosis. Am J Med 1997; 102:30S. 3) Mohana-Borges AV, Chung CB, Resnick D. Monoarticular arthritis. Radiol Clin North Am 2004; 42:135. 4) Shmerling RH, Delbanco TL, Tosteson AN, Trentham DE. Synovial fluid tests. What should be ordered? JAMA 1990; 264:1009. 5) McCutchan HJ, Fisher RC. Synovial leukocytosis in infectious arthritis. Clin Orthop Relat Res 1990; :226. 6) Siva C, Velazquez C, Mody A, Brasington R. Diagnosing acute monoarthritis in adults: a practical approach for the family physician. Am Fam Physician. 2003 Jul 1;68(1):83-90. PMID: 12887114. 7) Becker JA, Daily JP, Pohlgeers KM. Acute Monoarthritis: Diagnosis in Adults. Am Fam Physician. 2016 Nov 15;94(10):810-816. PMID: 27929277. 8) Jeong H, Kim AY, Yoon HJ, et al. Clinical courses and predictors of outcomes in patients with monoarthritis: a retrospective study of 171 cases. Int J Rheum Dis. 2014;17(5):502–510. 9) Ma L, Cranney A, Holroyd-Leduc JM. Acute monoarthritis: what is the cause of my patient's painful swollen joint? CMAJ. 2009;180(1):59–65. 10) Baker DG, Schumacher HR Jr. Acute monoarthritis. N Engl J Med. 1993;329(14):1013–1020. 11) Kienhorst LB, Janssens HJ, Fransen J, Janssen M; British Society for Rheumatology. The validation of a diagnostic rule for gout without joint fluid analysis: a prospective study. Rheumatology (Oxford). 2015;54(4):609–614. 12) Bardin T. Gonococcal arthritis. Best Pract Res Clin Rheumatol. 2003;17(2):201–208. 13) Davis, Benjamin T., and Mark S. Pasternack. "Case 19-2007: A 19-Year-Old College Student with Fever and Joint Pain." New England Journal of Medicine 356.25 (2007): 2631-2637.

Distinct summary based on available episode metadata or transcript content.

Ready to play

TdC 103: Caso Clínico de Monoartrite Aguda

0:00 44:51

No transcript for this episode yet

We transcribe on demand. Request one and we'll notify you when it's ready — usually under 10 minutes.

No similar episodes found.

No similar podcasts found.

Frequently Asked Questions

How long is this episode of Ta de Clinicagem?

This episode is 44 minutes long.

When was this Ta de Clinicagem episode published?

This episode was published on August 25, 2021.

Can I download this Ta de Clinicagem episode?

Yes. Use the download control on the episode player to save the publisher-provided media file.
URL copied to clipboard!