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  • Commented (DN1) : OA Knee Is Usually Bilateral. SLE or RA Is

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    Jared Khoo Er Hau
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    This document discusses evaluating a patient presenting with acute knee monoarthritis. It notes that joint or soft tissue infection must be ruled out first since there was no reported trauma. Undiagnosed infection can quickly cause cartilage and bone damage or sepsis. The major causes of acute monoarthritis include trauma, infection, crystals, osteoarthritis, bleeding in the joint, rheumatic diseases, tumors, and mechanical issues; but osteoarthritis is usually bilateral and rheumatic diseases typically involve multiple joints. The evaluation should focus on signs of pain, infection like fever, swelling, redness, infection history, and risk factors like gout or kidney stones.

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    Exercise for ortho

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    Orthopedic Exercise

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    This document discusses evaluating a patient presenting with acute knee monoarthritis. It notes that joint or soft tissue infection must be ruled out first since there was no reported trauma. Undiagnosed infection can quickly cause cartilage and bone damage or sepsis. The major causes of acute monoarthritis include trauma, infection, crystals, osteoarthritis, bleeding in the joint, rheumatic diseases, tumors, and mechanical issues; but osteoarthritis is usually bilateral and rheumatic diseases typically involve multiple joints. The evaluation should focus on signs of pain, infection like fever, swelling, redness, infection history, and risk factors like gout or kidney stones.

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    4 views1 page

    Commented (DN1) : OA Knee Is Usually Bilateral. SLE or RA Is

    Uploaded by

    Jared Khoo Er Hau
    This document discusses evaluating a patient presenting with acute knee monoarthritis. It notes that joint or soft tissue infection must be ruled out first since there was no reported trauma. Undiagnosed infection can quickly cause cartilage and bone damage or sepsis. The major causes of acute monoarthritis include trauma, infection, crystals, osteoarthritis, bleeding in the joint, rheumatic diseases, tumors, and mechanical issues; but osteoarthritis is usually bilateral and rheumatic diseases typically involve multiple joints. The evaluation should focus on signs of pain, infection like fever, swelling, redness, infection history, and risk factors like gout or kidney stones.

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    of 1

    A question a day 24092048 (W1D1)

    1. Since no trauma, must exclude joint / soft tissue infection first eg septic arthritis.

    Undiagnosed joint / soft tissue infection in the knee can cause further cartilage and bone loss,
    extensive cartilage damage can occur within hours of infection onset, may cause sepsis as
    well.

    2. The major causes of acute monoarthritis include trauma, infection, crystal-induced


    arthritis, osteoarthritis, hemarthorsis, systemic rheumatic diseases (SLE, RA, sarcoidosis),
    tumor, and mechanical derangement (meniscal tear, osteonecrosis) and problems with nerve
    entrapment. Commented [DN1]: OA knee is usually bilateral. SLE or RA is
    usually polyarthritis. Others are not arthritis but can cause pain at
    the joint.
    3. Pain (SOCRATES), any constitutional sx (fever, chills, night sweats), any swelling or
    Commented [DN2]: Do not forget possibility of
    erythema, recent infection, drug history, past hx of gout / renal stones immunosuppression.

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