COPYRIGHT © by Michaelidou Maria
Dr. Maria Michailidou
JOINTS
The symptom of joint pain is associated with a variety of disorders. Pain due to a problem within the joint needs to be distinguished from pain arising from nearby soft tissues or juxtaarticular bone. If joint motion is preserved but tenderness can be elicited by palpation over one of the regional bursae, tendons, or ligaments, it is unlikely that the joint pain is due to arthritis..)
Arthritis is likely when the pain is aggravated by movement, is associated with loss
of motion, and is accompanied by swelling and/or erythema. Deep-
The differential diagnosis of an acute monoarthritis overlaps with causes of oligoarthritis or polyarthritis since virtually any arthritic disorder can initially present as one swollen joint .However, the initial diagnostic evaluation of the patient with monoarticular arthritis should focus upon the possibility of an infectious etiology. Infection is a relatively common cause of acute pain and swelling in a single joint that can result in cartilage destruction within a few days if unrecognized. Thus, while the history and physical examination provide important clinical clues a definitive diagnosis often requires early performance of arthrocentesis and synovial fluid analysis