Back to Search
Start Over
[Diagnostic Work-Up for Monoarthritis - Step by Step].
- Source :
-
Deutsche medizinische Wochenschrift (1946) [Dtsch Med Wochenschr] 2019 Nov; Vol. 144 (22), pp. 1585-1589. Date of Electronic Publication: 2019 Oct 28. - Publication Year :
- 2019
-
Abstract
- The work-up of acute monoarthritis is challenging due to the abundance of differential diagnoses. In addition to a bacterial septic arthritis, which can, if not treated promptly, cause rapid irreversible joint damage, many diseases have to be considered: inflammatory rheumatic diseases, activated osteoarthritis, other infectious arthritis, cristal induced arthritis, and rare tumorous diseases. In cases with high urgency, and/or when medical history, physical examination and laboratory parameters remain without a specific etiologic clue, septic arthritis has to be excluded by immediate diagnostic joint aspiration. In many patients the cause of monoarthritis can already be determined by ordering a leucocyte count of the synovial fluid sample, a microscopy for crystals, and gram staining and culture for bacterial pathogens.<br />Competing Interests: Der Autor gibt an, dass kein Interessenkonflikt besteht.<br /> (© Georg Thieme Verlag KG Stuttgart · New York.)
Details
- Language :
- German
- ISSN :
- 1439-4413
- Volume :
- 144
- Issue :
- 22
- Database :
- MEDLINE
- Journal :
- Deutsche medizinische Wochenschrift (1946)
- Publication Type :
- Academic Journal
- Accession number :
- 31658483
- Full Text :
- https://doi.org/10.1055/a-0722-7254