00:01
Not to answer this question, let's talk about rheumatologic conditions or diseases.
00:05
Okay, it says a 54 -year -old man complains of a swollen, painful big toe.
00:11
And it says, cynobial fluid analysis, you have appearance cloudy 8 ,600 white blood cells per ml, and for rbcs you have 800.
00:25
Then it says, differential, neutrophiles, and monocytes, and then you have a...
00:31
You have a figure in the question, okay? and it says, what are the findings in the synovial fluid? in it says, what are the findings in the synobial fluid? well, in the cynoble fluid, you're getting, practically neococytosis, and also some rvcs, it means you're getting some, you got some bleeding inside, okay? and then it says, well, in the figure, you can also see some cells.
01:01
They are neutrophiles and also there are some needle -shaped crystals, okay? and the next question says, what additional test should be performed? well, i would order a polarized light microscopic.
01:23
Because the clinical finance of this patient suggests a crystal's orthropathy that can be gout or maybe tutored gout.
01:32
So this is what i would order.
01:34
I would also order maybe some x -gays because of the arbyses.
01:44
Maybe there is some type of bleeding, maybe there was some trauma in the knee in the past, so i want to check that.
01:50
Now it says the results of the proposed additional studies were as follows...