The Clinical Problem Solvers
Episode 324: Schema Episode – Joint Pain
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.
32:10
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Quick takeaways
- Joint pain localization guides diagnostic approach for monoarticular arthritis.
- Collaborative diagnostic strategy validates reactive arthritis diagnosis and successful treatment plan.
Deep dives
Initial Presentation of Patient
A 32-year-old man presents with left knee and ankle pain and swelling following burning urination and urethral discharge. The pain worsened over four days, prompting his ER visit. The sequential joint involvement includes the knee and ankle, leading to considerations of monoarticular arthritis for diagnosis.
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