Clinical Case Database / Category: Patient Management
An approach to managing a hot, swollen joint
Publication details
Frances Rees, Chris Deighton
Foundation Years Journal, volume 6, issue 2, p.32 (123Doc Education, London, February 2012)
Abstract
A 51-year-old man presents to the A&E department with a hot, swollen, painful knee (Figure 1). He says it started yesterday and is gradually getting worse. He is now finding it difficult to walk. He is usually fit and well, and was able to play football last weekend with his son. He has taken paracetamol with little effect. On examination his right knee is warm to touch. There is a moderate effusion. His knee flexion is restricted to 70 degrees and he is unable to fully extend his knee. The rest of the musculoskeletal examination is normal.
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Authors
Frances Rees
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Chris Deighton
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References
1. Coakley G, Mathews C, Field M et al. BSR & BHPR, BOA, RCGP and BSAC guidelines for management of the hot swollen joint in adults. Rheumatology 2006; 45(8):1039-1041
2. Mathews C, Weston V, Jones A, Field M, Coakley G. Bacterial septic arthritis in adults. Lancet 2010; 375:846-55
3. Weston V, Jones A, Bradbury N, Fawthrop F, Doherty M. Clinical features and outcome of septic arthritis in a single UK Health District 1982–1991. Ann Rheum Dis 1999;58:214-219
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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