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Septic Arthritis: Free MSRA Podcast

Septic Arthritis: Free MSRA Podcast

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 🎙️Deep Dive: SepticArthritis — Don't Miss This Diagnosis!Inthis episode, we dissect a true MSRA emergency — septic arthritis 🦠🦴. Whether it’s a swollen knee or mysterious hippain in a child, missing this diagnosis can cost joint function — or even alife. This Deep Dive takes you from red flags to real-world management, withmnemonics and practical tips to cement it all. Perfect for revision. ✅ 🧠What You’ll Learn• What septic arthritis is and why it’s an emergency• The classic triad: S-I-J= Swelling, Infection, Joint pain• Staph aureus: still the #1 cause — but gonococcus matters in the young• Three routes ofinfection: direct, hematogenous, contiguous• Who's at risk?Mnemonic = A DJ SHIPS CoRS• Key differentials:gout, RA, viral, reactive, drug-induced•Investigations: 💉 Synovial fluid is king•Management = 💊 + 💉 = IV antibiotics + joint drainage• Why prompt treatment = better outcomes• When to escalateto surgery• Specialconsiderations for children and prosthetic joints• Long-term outcomes& functional recovery stats 📌MSRA Mnemonics💡SIJ – Classic presentation• Swelling• Infection• Joint pain💡A DJ SHIPS CoRS – Risk factors• Age• Diabetes• Joint damage (RA, OA, gout)• Surgery• Hardware (prosthesis)• Immunodeficiency (e.g. HIV)• Post-skin infection• Septic wounds• Comorbidity• Revision surgery• Systemic illness💡Time is joint – For real. 💣 🧪Investigations toNail• Joint aspiration → Gram stain, culture, WCC,crystals• Blood cultures x2 BEFORE antibiotics• FBC, ESR, CRP – non-specific but helpful fortracking• Ultrasound – great for guiding aspiration• X-ray/MRI/CT – assess damage, guide surgery 🩺MSRA-Style ClinicalPearls• Most common joint= knee• In kids: refusalto walk, fever, pseudoparalysis• No fever ≠ noinfection, especially in the elderly/immunosuppressed• Gonococcalarthritis → think young, sexually activepatient• Prosthetic joint + pain = investigate, even ifafebrile!• Start IVantibiotics immediately after aspirating• Duration = 4–6 weeks (IV → oral step-down)• Drain joint early:aspiration or surgical washout• Immobiliseinitially, but mobilise early oncesettling• Failure to improveby Day 5? → Re-aspirate + reassess diagnosis 💥Complications to Know• Joint destruction• Deformity• Sepsis• Osteomyelitis• Amputation or arthrodesis in up to 1 in 3 cases• Avascular necrosis• Prosthetic joint failure⏰Prompt action =preserved joint & function 📚Essential MSRAResources for Septic Arthritis📝 Revision Noteshttps://www.passthemsra.com/topic/septic-arthritis-revision-notes-2/📇 Flashcardshttps://www.passthemsra.com/topic/septic-arthritis-flashcards-2/📂 Accordion Q&A Noteshttps://www.passthemsra.com/topic/septic-arthritis-accordion-qa-notes-2/🧪 Rapid Fire Quizhttps://www.passthemsra.com/topic/septic-arthritis-rapid-quiz-2/🎯 Quiz Accesshttps://www.passthemsra.com/quizzes/septic-arthritis/🧠 More revision tools: https://www.passthemsra.com🎁 Free content: https://www.freemsra.com 💬Quick Questions toPractiseWhat’s the first test you do in a suspected septic joint?What’s the classic presentation in children?When would you consider surgery over aspiration?Which organisms guide your empirical antibiotic choice?What’s the MSRA-relevant mnemonic for risk factors? 💡Final ReflectionSepticarthritis may look like a hot joint — but underneath, it’s a ticking time bomb.Recognising it early and acting fast is the difference between recovery or lifelong disability. Time is joint. 💥 #MSRA#SepticArthritis #MSRARevision #MSRAFlashcards #MSRAQuiz #MSRAQandA #JointPain#MSRAMnemonics #MSKMSRA #PassTheMSRA #FreeMSRA

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