Paraclinical test

Susceptible etiology

Result

CBC, ESR, CRP

Infection, Inflammation, and rheumatologic disease

Increased WBC and platelet, elevated ESR and CRP

Malignancy

Increased WBC OR cytopenia, elevated ESR and CRP

Synovial fluid analysis and culture

Septic arthritis

Turbid appearance, WBC > 50,000 - 100,000, PMNs > 75%, positive culture

Transient

synovitis

Clear yellow appearance, WBC = 5000 - 15,000, PMNs < 25%, negative culture

Cultures

Urethra, Cervix, Rectus, and Pharynges

Gonococcal arthritis

Neisseria gonorrhoeae

Urine and stool

Reactive

arthritis

Chlamydia in U/C, Salmonella, Shigella, Campylobacter and Yersinia in S/C

Blood

Hematogenous Infection

S. aureus, Haemophilus influenzae

Bone

Osteomyelitis

S. aureus, Pseudomonas, or other microorganisms

Throat

Acute rheumatic fever

Hemolytic Streptococci Group A

ASO Titer

Acute rheumatic fever

Increased level of ASO titer

Lyme Titer

Lyme disease

Positive

ANA Test

systemic lupus erythematosus

Positive (1:80 or higher)

Coagulation profile

Hemarthrosis, Known hemophilia

Increased aPTT