Acute monoarthritis

March 2018 | by EMauthor


This a common presentation

Common causes are

oTrauma

oSeptic arthritis

oReactive mono-arthropathy

oGout

The important diagnosis not to miss is septic arthritis

WCC and inflammatory markers (CRP and ESR ) can be raised in septic arthritis as well as in gout and reactive arthropathy, exercise care in interpreting results

The only definite way to establish diagnosis of septic arthritis is to examine joint aspirate for organisms and culture and sensitivity. The sample can be tested for urate crystals as well

If in doubt seek senior help



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