Monarthritis Polyarthritis Differential Diagnosis

Stephen Ray Mitchell and John F. Beary, III

Acute monarthritis Chronic., monarthritis Acute .polyarthritis Chronic polyarthritis

The number of joints and the time course during which a joint disorder develops guide the approach to differential diagnosis. Acute monarthritis may represent septic arthritis, which is a rheumatologic emergency. Prompt diagnosis and treatment of a potentially septic process are required. The single abnormal joint that persists beyond 2 months presents a different diagnostic challenge. In each case, one must view the overall clinical presentation, including factors such as associated extraarticular visceral involvement, constitutional signs and symptoms, severity of illness and limitation of function, potential foci of infection, skin lesions, hyperuricemia, and history of trauma or bleeding disorders. Usually, an aggressive initial approach is indicated, including joint aspiration with synovial fluid analysis and occasionally referral for synovial biopsy or arthroscopy. Therapy will vary significantly depending on the presumptive diagnosis. Specific therapy of each disease is discussed in later chapters. T§ble.,.„9:1 and TabJe.9-2 summarize the diagnostic approach to this group of disorders.

Table 9-1. Differential diagnosis of monarthritis by presentation

Differential Diagnosis For Polyarthritis

Table 9-2. Differential diagnosis of polyarthritis by presentation

Arthritis Relief and Prevention

Arthritis Relief and Prevention

This report may be oh so welcome especially if theres no doctor in the house Take Charge of Your Arthritis Now in less than 5-Minutes the time it takes to make an appointment with your healthcare provider Could you use some help understanding arthritis Maybe a little gentle, bedside manner in your battle for joint pain relief would be great Well, even if you are not sure if arthritis is the issue with you or your friend or loved one.

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