Rheumatology
- ISBN-10
- 940109747X
- ISBN-13
- 9789401097475
- Series
- Rheumatology
- Category
- Medical
- Pages
- 184
- Language
- English
- Published
- 2012-12-06
- Publisher
- Springer Science & Business Media
- Author
- H. Hall
Description
ACUTE MONOARTHRITIS Some rheumatic diseases present with acute inflam The patient, through his appearance, behaviour and mation of a single joint. background, supplies diagnostic cues to the physician Causes of acute monoarthritis include: who interprets them according to his own experience - septic arthritis and training. The doctor then forms a hypothesis - traumatic synovitis which may be accepted or rejected as the result of further investigation. At some stage a diagnostic label - haemarthrosis may be applied and appropriate management in - gout stituted. The response to treatment may itself alter the - pseudogout (pyrophosphate arthropathy) original hypothesis. - seronegative rheumatoid arthritis For some diseases encountered in rheumatology, - Still's disease especially those seen in hospital, this approach may be - psoriatic arthritis appropriate but in many rheumatic conditions it cannot be applied. The condition may be so evan Acute monoarticular arthritis must be differen escent or the disability so mild that a full-scale tiated from inflammation of the periarticular struc investigation, usually negative, is not warranted tures. Osteomyelitis in the metaphysis of a long bone before treatment is begun. This move from cues to may be confused with infectious arthritis of the management without a firm 'diagnosis' is a technique adjacent joint. Inflammation near but not involving used in good general practice and not an illegitimate the joint usually allows a sm all range of pain-free short cut adopted to save time: frequently it is the only passive movement.
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