23 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) SEPTIC (PYOGENIC) ARTHRITIS, published by icmr.gov.in. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. 16 of the 23 pairs (69.6%) are explanatory questions and 7 restate a figure. 100.00% of rows pass the corpus quality gate.
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First 10 of 23 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What characteristic of synovial fluid might indicate septic arthritis? | Cloudy or purulent synovial fluid | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 143 | definition | 1.000 | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 1 | page=1,block=14 | 0.700 | valid |
| What does the process of surgical decompression for septic arthritis include? | Arthrotomy + thorough saline lavage +/- suction drainage | Treat as appropriate If surgery is contraindicated: Serial aspiration and lavage preferably under ultrasound guidance Surgical decompression: Arthrotomy + thorough saline lavage +/- suction drainage 1. Mathews CJ, Coakley G. Septic arthritis: current diagnostic and therapeutic algorithm. Curr Opin Rheumatol. 2008 Jul;20(4):457-62 2. Mathews CJ, Kingsley G, Field M, Jones A, Weston VC, Phillips M, Walker D, Coakley G. Management of septic arthritis: a systematic review. Ann Rheum Dis. 2007 Apr;66(4):440-5 3. Hassan AS, Rao A, Manadan AM, Block JA. Peripheral Bacterial Septic Arthritis: Review of Diagnosis and Management. J Clin Rheumatol. 2017 Dec;23(8):435-442 4. Mathews CJ, Weston VC, Jones A, Field M, Coakley G. Bacterial septic arthritis in adults. Lancet. 2010 Mar 6;375(9717):846-55 | 142 | definition | 1.000 | Treat as appropriate If surgery is contraindicated: Serial aspiration and lavage preferably under ultrasound guidance Surgical decompression: Arthrotomy + thorough saline lavage +/- suction drainage 1. | 1 | page=1,block=35 | 0.700 | valid |
| What type of synovial fluid may indicate septic arthritis? | Cloudy or purulent synovial fluid | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 143 | definition | 1.000 | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 1 | page=1,block=14 | 0.700 | valid |
| What does surgical decompression for septic arthritis involve? | Arthrotomy + thorough saline lavage +/- suction drainage | Treat as appropriate If surgery is contraindicated: Serial aspiration and lavage preferably under ultrasound guidance Surgical decompression: Arthrotomy + thorough saline lavage +/- suction drainage 1. Mathews CJ, Coakley G. Septic arthritis: current diagnostic and therapeutic algorithm. Curr Opin Rheumatol. 2008 Jul;20(4):457-62 2. Mathews CJ, Kingsley G, Field M, Jones A, Weston VC, Phillips M, Walker D, Coakley G. Management of septic arthritis: a systematic review. Ann Rheum Dis. 2007 Apr;66(4):440-5 3. Hassan AS, Rao A, Manadan AM, Block JA. Peripheral Bacterial Septic Arthritis: Review of Diagnosis and Management. J Clin Rheumatol. 2017 Dec;23(8):435-442 4. Mathews CJ, Weston VC, Jones A, Field M, Coakley G. Bacterial septic arthritis in adults. Lancet. 2010 Mar 6;375(9717):846-55 | 142 | definition | 1.000 | Treat as appropriate If surgery is contraindicated: Serial aspiration and lavage preferably under ultrasound guidance Surgical decompression: Arthrotomy + thorough saline lavage +/- suction drainage 1. | 1 | page=1,block=35 | 0.700 | valid |
| What should a detailed medical history for suspected septic arthritis include? | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 0 | summary | 0.970 | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 1 | page=1,block=14 | 0.700 | valid |
| What should be reviewed in a detailed medical history for infection detection? | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 0 | summary | 0.970 | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 1 | page=1,block=14 | 0.700 | valid |
| What are the signs that suggest joint inflammation? | Swelling, erythema, tenderness, painful limitation of joint motion, painful limp | Fever with pain, swelling and inability to move the joint Malaise and/ or listlessness, irritability, poor feeding, immobility and joint dysfunction ∙ Swelling, erythema, tenderness, painful limitation of joint motion, painful limp ∙ Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | 151 | list | 0.820 | Fever with pain, swelling and inability to move the joint Malaise and/ or listlessness, irritability, poor feeding, immobility and joint dysfunction ∙ Swelling, erythema, tenderness, painful limitation of joint motion, painful limp ∙ Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | 1 | page=1,block=3 | 0.700 | valid |
| What imaging methods are recommended for evaluating a joint affected by septic arthritis? | ∙ Plain radiographs of affected joint ∙ Ultrasound of affected joint ∙ Doppler to rule out DVT | OR NO RESOLUTION OF SYMPTOMS Essential ∙ Hemogram with ESR ∙ C-reactive protein (CRP) ∙ Blood culture ∙ Joint fluid aspirate for examination (Gram stain, aerobic and anaerobic culture and sensitivity (C&S) testing) Desirable ∙ Plain radiographs of affected joint ∙ Ultrasound of affected joint ∙ Doppler to rule out DVT ∙ Renal and liver function ∙ ELISA serology for HIV, HBsAg, HCV ∙ Blood sugar (FBS, PPBS/RBS) ∙ Synovial fluid for fungal and mycobacterial staining with C&S for suspected cases ∙ Synovial fluid for polarising microscopy ∙ Synovial fluid examination for synovial sugar and protein levels | 225 | list | 0.820 | OR NO RESOLUTION OF SYMPTOMS Essential ∙ Hemogram with ESR ∙ C-reactive protein (CRP) ∙ Blood culture ∙ Joint fluid aspirate for examination (Gram stain, aerobic and anaerobic culture and sensitivity (C&S) testing) Desirable ∙ Plain radiographs of affected joint ∙ Ultrasound of affected joint ∙ Doppler to rule out DVT ∙ Renal and liver function ∙ ELISA serology for HIV, HBsAg, HCV ∙ Blood sugar (FBS, PPBS/RBS) ∙ Synovial fluid for fungal and mycobacterial staining with C&S for suspected cases ∙ Synovial fluid for polarising microscopy ∙ Synovial fluid examination for synovial sugar and | ||||
| What serology tests are considered desirable for diagnosing unresolved symptoms in septic arthritis? | ∙ ELISA serology for HIV, HBsAg, HCV | OR NO RESOLUTION OF SYMPTOMS Essential ∙ Hemogram with ESR ∙ C-reactive protein (CRP) ∙ Blood culture ∙ Joint fluid aspirate for examination (Gram stain, aerobic and anaerobic culture and sensitivity (C&S) testing) Desirable ∙ Plain radiographs of affected joint ∙ Ultrasound of affected joint ∙ Doppler to rule out DVT ∙ Renal and liver function ∙ ELISA serology for HIV, HBsAg, HCV ∙ Blood sugar (FBS, PPBS/RBS) ∙ Synovial fluid for fungal and mycobacterial staining with C&S for suspected cases ∙ Synovial fluid for polarising microscopy ∙ Synovial fluid examination for synovial sugar and protein levels | 347 | list | 0.820 | OR NO RESOLUTION OF SYMPTOMS Essential ∙ Hemogram with ESR ∙ C-reactive protein (CRP) ∙ Blood culture ∙ Joint fluid aspirate for examination (Gram stain, aerobic and anaerobic culture and sensitivity (C&S) testing) Desirable ∙ Plain radiographs of affected joint ∙ Ultrasound of affected joint ∙ Doppler to rule out DVT ∙ Renal and liver function ∙ ELISA serology for HIV, HBsAg, HCV ∙ Blood sugar (FBS, PPBS/RBS) ∙ Synovial fluid for fungal and mycobacterial staining with C&S for suspected cases ∙ Synovial fluid for polarising microscopy ∙ Synovial fluid examination for synovial sugar and | ||||
| What diagnostic procedures are performed at a higher centre for septic arthritis? | Joint aspiration for Gram stain + C&S • Radiograph and ultrasound of affected joint | First dose IV broad spectrum antibiotic (only if access to higher centre will take more than 2-3 hours) Higher Centre • Same as above, plus • Joint aspiration for Gram stain + C&S • Radiograph and ultrasound of affected joint • IV antibiotic to be continued, change according to C&S report • Surgical treatment as mentioned below • If requiring repeated surgery or atypical organism obtain specialist’s consultation • IV antibiotic to be continued for two weeks, followed by oral antibiotics for four weeks • Conversion to oral antibiotics based on 1. Clinical improvement 2. Fall in inflammatory markers (CRP, ESR levels to be monitored every 2 days during hospital stay) 3. And resolution of systemic symptoms • Consult with microbiologist whenever available • Manage complications like DVT, osteomyelitis, pathological fracture Septic arthritis Treatment as per septic arthritis protocol | 142 | list | 0.820 | First dose IV broad spectrum antibiotic (only if access to higher centre will take more than 2-3 hours) Higher Centre • Same as above, plus • Joint aspiration for Gram stain + C&S • Radiograph and ultrasound of affected joint • IV antibiotic to be continued, change according to C&S report • Surgical treatment as mentioned below • If requiring repeated surgery or atypical organism obtain specialist’s consultation • IV antibiotic to be continued for two weeks, followed by oral antibiotics for four weeks • Conversion to oral antibiotics based on 1. |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=44 |
| 0.700 |
| valid |
| 1 |
| page=1,block=44 |
| 0.700 |
| valid |
| 1 |
| page=1,block=23 |
| 0.700 |
| valid |