Jess Mason demonstrates a technique for aspirating the olecranon bursa. There is redness, warmth, and tenderness over the olecranon bursa, and it does not follow the anatomic pattern of the joint. The patient is able to fully range the joint and is focally tender to the bursa. The aspirate is seropurulent with chunks of crystals. Results showed uric acid crystals and staph aurerus, so this patient has both gout (in the bursa) and septic bursitis. He was treated with antibiotics and referred for to orthopedics for possible I&D of the bursa. Some cases of septic bursitis are managed by serial needle aspirations, and if the swelling resolves, sometimes with just antibiotics and NSAIDs. Be aware that these patients can become septic.