The Clinical Problem Solvers Episode 324: Schema Episode – Joint Pain
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Mar 13, 2024 Sharmin, Jack, and Youssef discuss their approach to joint pain, exploring a case study of a 32-year-old male with left knee and ankle pain. They differentiate between septic arthritis, gout, reactive arthritis, and rheumatoid arthritis based on symptoms. The discussion emphasizes the diagnostic challenges in managing cases of clinical uncertainty and the importance of considering various diagnostic inputs.
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Analyzing Arthritis
- Analyze arthritis based on the number of joints involved: monoarticular, oligoarticular, or polyarticular.
- For oligoarticular arthritis with sequential joint involvement, consider a monoarticular arthritis differential.
Monoarticular Arthritis Differential
- Septic arthritis, crystalline diseases, and autoimmune conditions are primary considerations for monoarticular arthritis.
- Osteoarthritis is less likely in younger individuals.
Urethral Discharge Significance
- Urethral discharge can indicate disseminated gonococcal infection (DGI) or reactive arthritis.
- Prioritize evaluating for DGI due to its potential for joint destruction.
