Best Case Ever 5 Septic Arthritis
Emergency Medicine Cases
Dr. Anton Helman
4.7 • 602 Ratings
🗓️ 19 July 2011
⏱️ 5 minutes
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| 0:00.0 | This month's best case ever is in anticipation of episode 16 called Hot Joints What to Do. |
| 0:24.0 | And we have with us Dr. Joel Yaffey, who's going to tell us about his best case ever related to hot joints. |
| 0:31.2 | Dr. Yaffey, let it rip. |
| 0:32.8 | Okay. |
| 0:33.6 | So why is this my best case ever? |
| 0:35.6 | This was, for me, a real learning experience in many ways, |
| 0:39.2 | and it also reinforced some stuff that I think I knew at advance. So this was a guy who actually |
| 0:45.2 | I saw about two weeks ago now, man who was about 65 years old, a diabetic whose wife came |
| 0:53.3 | home in the morning after she went shopping and came to find him slumped over at the table, awake but looking quite ill. |
| 1:00.3 | Brought into our emerge, had a temperature of 40 degrees. |
| 1:04.6 | He was awake, but really not answering questions well. |
| 1:09.0 | And our history that we could get suggested that the guy had been |
| 1:13.0 | pretty well in the past week, although there might have been a bit of a history of a respiratory |
| 1:18.1 | tract infection. We examined him. We did the usual tests looking for a source of sepsis. We did a chest |
| 1:26.1 | x-ray, a urinalysis, lactate was eight. We |
| 1:30.7 | fluid resuscitated him. We gave him broad spectrum antibiotics to cover him for everything |
| 1:36.6 | possible. ICU came down and saw him and despite fluid resuscitation, he really didn't look great, so I ended up going to the ICU. |
| 1:47.7 | When I followed him up the next day, I found out that his diagnosis was septic arthritis, |
| 1:54.5 | and he was taken urgently to the OR. |
| 1:57.9 | What happened? |
| 1:59.1 | Well, by the time the next morning rolled around, he was fluid resuscitated |
| 2:03.5 | and feeling better, and at that point, he started complaining about his right knee. And when people |
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