XR of hands

Question 1

What does this XR show?

Answer 1

see early signs of RA with erosions and marginal erosion at the blue arrow.

these show joint inflammation and loss of joint space where the red arrows are

Question 2

joint fluid characteristics comparing OA, inflammatory and septic joint

Answer 2

Question 3

what is this showing and what is this associated with?

Answer 3

calcium deposits in the cartilege is chondrocalcinosis.

Seen in asymptomatic elderly pts but can be seen in acute inflammatory arthritis with CPPD deposition.

Pseudogout affects knee and seen in acute ilness

see hyperparathyroiidsm

hyper Fe state

CPPD state

hypomagnesemia

low thyroid state

Question 4

what is associated with this crystal from synovial aspiration finding on XR?

Answer 4

See CPPD and see chondrocalcinosis on XR.

Question 5

what is this dx if this is the synovial fluid analysis?

Answer 5

gouty arthritis