Bursitis other diagnostic studies: Difference between revisions
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==Other diagnostic studies== | ==Other diagnostic studies== | ||
===Aspiration of the bursa=== | ===Aspiration of the bursa=== | ||
Indications for aspiration | Indications for aspiration of bursal fluids include: | ||
*Presence of local inflammation | *Presence of local inflammation | ||
*Fever | *Fever | ||
* | * | ||
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center | |||
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! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Type of Bursitis}} | |||
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Aspiration of bursal fluids}} | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Septic]] bursitis''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*[[white blood cell|White blood cell count (WBC)]]WBC greater than 5000 to 20,000 mm3 with left shifts | |||
*Increased [[protein]] and [[lactate]] level | |||
*Decreased glucose level | |||
*Positive culture and [[Gram stain]] | |||
|- | |||
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Aseptic]] bursitis''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*[[white blood cell|White blood cell count (WBC)]] <500 mm3 | |||
*Normal [[protein]] and [[lactate]] level | |||
*Normal glucose level | |||
*Negative culture and [[Gram stain]] | |||
|- | |||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Bursitis associated with [[gout]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*Presence of [[monosodium urate crystals]] | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''Bursitis associated with [[pseudogout]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*Presence of calcium pyrophosphate crystals | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''Bursitis associated with [[rheumatoid arthritis]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*Presence of cholesterol crystals | |||
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On aspiration of the bursa, Aseptic bursitis is characterized by | On aspiration of the bursa, Aseptic bursitis is characterized by | ||
*[[white blood cell|White blood cell count (WBC)]] <500 mm3 | *[[white blood cell|White blood cell count (WBC)]] <500 mm3 | ||
Revision as of 18:32, 24 August 2016
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Bursitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Bursitis other diagnostic studies On the Web |
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American Roentgen Ray Society Images of Bursitis other diagnostic studies |
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Risk calculators and risk factors for Bursitis other diagnostic studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Other diagnostic studies for bursitis include aspiration of the bursal fluid. It may be helpful in differentiate septic and aseptic bursitis.
Other diagnostic studies
Aspiration of the bursa
Indications for aspiration of bursal fluids include:
- Presence of local inflammation
- Fever
| Type of Bursitis | Aspiration of bursal fluids |
|---|---|
| Septic bursitis |
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| Aseptic bursitis |
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| Bursitis associated with gout |
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| Bursitis associated with pseudogout |
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| Bursitis associated with rheumatoid arthritis |
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On aspiration of the bursa, Aseptic bursitis is characterized by
- White blood cell count (WBC) <500 mm3
- On aspiration of the bursa, septic bursitis is characterized by
- Increased protein and lactate level,
- Decreased glucose level,
- White blood cell count (WBC)WBC greater than 5000 to 20,000 mm3 with left shifts
- Positive culture and Gram stain
On aspiration of the bursa, bursitis associated with rheumatoid arthritis is characterized by
- Presence of cholesterol crystals
On aspiration of the bursa, bursitis associated with gout is characterized by
- Presence of Monosodium urate crystals
On aspiration of the bursa, bursitis associated with pseudogout is characterized by
- Presence of calcium pyrophosphate crystals