Synovial fluid cell count of 84 930/mm in adult-onset Still's disease.

In traditional teaching, synovial fluid cell counts over 50 000/mm are in keeping with septic or crystalline arthritis. We report a patient with adult-onset Still's disease (AOSD) and associated inflammatory arthritis whose synovial fluid cell count was over 80 000/mm This is the highest level reported in the literature, demonstrating that in the appropriate clinical context, markedly elevated synovial cell count levels over 50 000/mm can be caused by inflammatory conditions like AOSD. Recognition of this is crucial to avoid inappropriate antibiotics and procedures while also ensuring correct immunosuppressive treatments are offered in a timely manner.

Hearing "That's So Gay" and "No Homo" on Campus and Substance Use Among Sexual Minority College Students.

Sexual orientation microaggressions are common on college campuses and can contribute to negative outcomes; yet little is known about their relationship with substance use outcomes. Among a convenience sample of cisgender sexual minority college students (= 574; 57.0% female, 24.