INPUT ARTICLE: Article: Only your doctor can definitively diagnose septic arthritis. If you have sudden onset of severe pain in a joint or any other symptoms of septic arthritis, contact your doctor as soon as possible. Prompt diagnosis of septic arthritis can minimize potential joint damage, including degeneration.  Schedule the first available appointment by letting the doctor’s staff know that you have the symptoms of septic arthritis. Seek emergency medical attention if your doctor is unable to see you. Emergency rooms and emergency care centers can also diagnose septic arthritis. During your appointment or exam, explain to the doctor that you suspect you may have septic arthritis. Discuss any symptoms you are experiencing as well as other relevant information, such as if you recently had surgery or a puncture wound. Your doctor will consider this information while examining your joint for signs of septic arthritis. Answer any questions the doctor may have honestly. Remember the doctor is trying to make a proper diagnosis and formulate the best treatment plan to minimize the risk of more serious conditions. If you are an illegal drug user, this information could be important information for a diagnosis. Depending on the examination, your doctor may order additional tests. These can give a more definitive diagnosis of septic arthritis. Your doctor may prescribe the following additional tests:  Arthrocentesis, which requires inserting a small needle into the joint for a sample of the synovial fluid. This test can indicate the presence of bacteria and assess your white blood cell count. It can also help your doctor figure out what medications to prescribe as treatment. Synovial fluid with greater than 50,000 white cells with a predominance of Polymorphonuclear Leukocytes (PMN) is significant for the disease and needs treatment.  Other than the cell count, a doctor will do a gram stain of the synovial fluid as well as a culture of the fluid.  This will help guide treatment. Blood culture, which requires taking blood with a small needle. A blood culture can determine what signs of infection are in your blood. This test can help your doctor figure out the severity of infection in your joint. In addition to joint fluid and blood tests, your doctor may also call for imaging tests. These can confirm the presence of infection as well as if your joint is damaged. Imaging tests often used for diagnosing septic arthritis include:  X-rays. MRI scans. CT scans. Bone scans. Ultrasound. Based on the outcome of an examination and any testing, your doctor may diagnose you with septic arthritis. Your doctor will talk to you about the results of your testing, including any damage in your joint. Your doctor will also discuss your treatment options.  Ask your doctor any questions you may have about the diagnosis or treatment. If you have a MRSA infection you will need to treated with IV antibiotics such as vancomycin.  This is the safest option for treatment given the prevalence of MRSA in hospitals and the community.

SUMMARY: Schedule an appointment with your doctor. Undergo an examination. Get your blood and joint fluid tested. Have imaging tests. Receive a diagnosis.


INPUT ARTICLE: Article: Bring your rocket and its launcher, the baking soda packet, and a cork with you. Place the PVC launcher in the middle of the area, away from walls and windows. Pick a spot outside where you can make a mess.

SUMMARY: Go outside to your backyard or an open area.


INPUT ARTICLE: Article: There are lots of species of shrimp to choose from when making a shrimp tank.  All shrimp are more susceptible to issues with water quality than fish.  Ghost shrimp, also called glass shrimp, are one of the easiest breeds of shrimp to raise.  They are translucent (see through) and highly active.  Ghost shrimp are also very affordable. Cherry shrimp are usually green and brown, but there are red varieties available for purchase.  They are slightly more expensive than ghost shrimp, but require similar care. There are many options to choose from for shrimp tanks.  Choosing a tank that is at least ten gallons will ensure you have enough space for your shrimp to flourish.  Make sure to note the size of your tank.  You will need to use that figure to calculate flow rate in your choice of water filter. A ten-gallon tank is often sufficient for even a large population of shrimp. You will need to determine the required flow rate for your tank.  Pet stores can often help you choose the right filter for your tank.   You can also use one of the many free volume calculators available online to help you choose. Shrimp waste is often very small, so you'll need an effective filter to catch this.   You will need to know the volume and dimensions of your tank to use volume calculators. Try using the free volume calculator at http://aquariuminfo.org/volumecalculator.html to determine your filter needs. In-tank filters like Lee's 10 Premium Undergravel Filter and the Emperor Pro Series Bio-Wheel are good options.  The Fluval 406 canister filter is also good and mounts externally. Sponge filters are recommended if you are going to create an ongoing colony of shrimp, as the shrimplets will not be sucked in as they would with a hang-on-back filter intake. Shrimp also enjoy picking debris off sponge filters. You can also find online calculators to help you determine which water heater to purchase.  It is important to choose a water heater that is rated appropriately to heat a tank the size of yours.  Pet stores can help you identify the right heater for your tank. Generally, it's better to round up on the required wattage of your water heater. Purchasing two equal wattage water heaters to place on either side of the tank can increase efficiency and ensure the tank remains warm if one heater fails. Most plant substrates come ready to be placed in your aquarium upon purchase.  Gravel substrates may require multiple cleanings before they are free of dust and debris.   You can buy shrimp-ready substrate at most pet stores. Use enough substrate to fill the bottom of the aquarium to about an inch. Try to leave the area at the front of the tank clear so shrimp will congregate in a visible area, but feel free to vary the depth of the substrate otherwise.

SUMMARY: Choose the right shrimp for you. Choose the right fish tank. Choose the right aquarium filter. Install a tank heater. Add substrate to the floor of the tank.


INPUT ARTICLE: Article: Here's what you need to make roasted mussels:  2 lbs. fresh blue mussels, debearded and rinsed 2 oz. whole almonds 3 1/2 tbsp. unsalted butter 1 1/2 tbsp. minced shallots 2 minced garlic cloves 6 tbsp. dry white wine 1 tbsp. lemon juice 1 1/2 tbsp. chopped parsley 1/4 tsp. chopped thyme leaves 1 tbsp. chopped chervil leaves Sea salt to taste Pepper to taste Crusty bread for serving  Spread 2 oz. of whole almonds evenly on a baking sheet. Transfer the sheet to the oven and roast the almonds until they're fragrant, for about five minutes. Let them cool and them chop them by hand or use a food processor to chop them. Add 1 tbsp. of butter to the pan and cook until it's melted, for at least 30 seconds. Add 1 1/2 tbsp. of minced shallots and 2 minced garlic cloves to the butter and cook them until they're translucent, for 2-3 minutes. Add 6 tbsp. of dry white wine and 1 tbsp. of lemon juice to the pan and remove it from heat as soon as they boil. Add 1 1/2 tbsp. of chopped parsley, 1/4 tsp. of chopped thyme leaves, and 1 tbsp. chopped chervil leaves to the pan along with salt and pepper to taste.  Arrange 2 lbs. of fresh blue mussels that have been de-bearded and rinsed in no more than two even layers in the roasting pan. Cut the butter into several pieces to spread it out evenly over the mussels. Toss the mussels to coat every 3-4 minutes, until the mussels have opened up and the sauce is nice and creamy. Serve these roasted mussels immediately on their own or with some bread for dipping.

SUMMARY:
Gather your ingredients. Preheat your oven to 400ºF (204ºC). Roast the whole almonds. Chop the almonds. Place a 5 1/4 quart nonreactive cast-iron roasting pan over medium heat. Add the shallots and garlic. Add the wine and lemon juice and bring them to a boil. Add the herbs and almonds to the pan. Increase the oven temperature to 450ºF (232ºC). Arrange the mussels in the roasting pan. Place the remaining 2.5 tbsp. of butter over the mussels. Roast the mussels until they've opened. Serve.