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Mar 14 2016

Septic Arthritis

Morning Report

Thank you Dr. John Hollowed for a great presentation of a pain with acute onset R. shoulder and L. knee pain/swelling s/p arthrocentesis c/w infectious process (gram stain with GPC’s, WBC >200K). Patient also likely with native valve endocarditis

Teaching Points: 

–Septic arthritis an orthopedic emergency! Consult ortho as patient may require surgical irrigation and debridement

–Oligoarticular or polyarticular infection occurs in approximately 20 percent of septic joint infections, usually involving two or three joints.

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Mar 14 2016

Diabetic Myonecrosis

Morning Report

Thank you Dr. Jane Ma for a a great presentation of a woman with right thigh pain and swelling, found to have diabetic myonecrosis Teaching Points:  Rare complication associated with poorly-controlled DM caused by infarcted muscle tissue Acute pain and…

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