Episode 65 - Acute Joint Pain

<a href="https://www.ebmedicine.net/topics/musculoskeletal/joint-pain">Diagnosis and Management of Acute Joint Pain in the Emergency Department</a><p></p><p>Interview with author: Rachel Sullivan, MD</p><p></p><ul><li>Why joint pain ?</li><li>Differential Diagnosis </li><li class="ql-indent-1">Mono vs Poly Articular Presentation? Figure 1</li><li class="ql-indent-1">Infectious, degenerative, autoimmune, crystal deposition, reactive, traumatic</li><li class="ql-indent-1">Septic Arthritis-</li><li class="ql-indent-2">Bimodal incidence </li><li class="ql-indent-2">Risks</li><li class="ql-indent-2">Septic arthritis is polyarticular in 15% to 20% of cases, and in these cases, the mortality is high</li><li class="ql-indent-1">Gonococcal </li><li class="ql-indent-2">Highest risk</li><li class="ql-indent-2">Commonly affected joints</li><li class="ql-indent-2">Symptomatic or asymptomatic infection </li><li class="ql-indent-1">Lyme Arthritis</li><li class="ql-indent-1">Viral - Zika, chikungunya, human parvovirus B19, hepatitis</li><li class="ql-indent-1">Degenerative osteoarthritis </li><li class="ql-indent-1">Autoimmune</li><li class="ql-indent-1">Gout</li><li class="ql-indent-1">CPPD</li><li>Prehospital </li><li>ED History - table 2, table 4</li><li>ED exam </li><li>Labs - do we need them? </li><li>Imaging</li><li>Arthrocentesis - Table 5</li><li>Treatment</li><li>Special Populations</li><li class="ql-indent-1">Prostheses </li><li class="ql-indent-1">Immunocompromised </li><li class="ql-indent-1">HIV</li><li>Clinical Pathway</li></ul><p></p>