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Diagnosis and Management of Acute Joint Pain in the Emergency Department

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Episode 65

Date: 01/01/2021 | Length: 45:40

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Show Notes

Why joint pain?
Differential diagnosis
- Monoarticular vs polyarticular presentation (Figure 1)
- Infectious, degenerative, autoimmune, crystal deposition, reactive, traumatic
- Septic arthritis
  - Bimodal incidence
  - Risks
  - Septic arthritis is polyarticular in 15% to 20% of cases, and in these cases, the mortality is high
- Gonococcal
  - Highest risk
  - Commonly affected joints
  - Symptomatic or asymptomatic infection
- Lyme arthritis
- Viral (Zika, chikungunya, human parvovirus B19, hepatitis_
- Degenerative osteoarthritis
- Autoimmune
- Gout
- CPPD
Prehospital
History (Tables 2 and 4)
Physical examination
Labs: do we need them?
Imaging
Arthrocentesis (Table 5)
Treatment
Special Populations
- Prostheses
- Immunocompromised
- HIV
Clinical Pathway

Meet the Host

Sam Ashoo, MD, FACEP

Dr. Ashoo is a practicing emergency physician, board-certified in emergency medicine and clinical informatics. Join him as he takes you through the December 2021 issue of Emergency Medicine Practice: Thoracic Aortic Syndromes in The Emergency Department: Recognition and Management

About The Podcast

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine's peer-reviewed journals educate and arm you for life in the ED.

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