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3101926
Monoarthritis
Description
Algorithm for the investigation of monoarthritis
No tags specified
monoarthritis
investigations
diagnosis
Mind Map by
laurenkkelly
, updated more than 1 year ago
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Created by
laurenkkelly
over 9 years ago
23
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0
Resource summary
Monoarthritis
Complete history and examination
Suspect joint trauma / injury
Effusion/synovitis present
Arthrocentesis
Crystals
MSU
Gout
CPPD
Pseudogout
WBC <2000
Suspect non-inflammatory conditions eg. OA
WBC >2000
Suspect inflammatory causes eg. RA, JIA, spondyloarthropathies, SLE, septic arthritis etc.
Synovial fluid gram stain, culture, sensitivity
Pathogens
Septic arthritis
No pathogens
ESR and CRP
Patterns indicative of certain disease vs generalised elevation
RF and CCP
Positive
Suspect rheumatoid arthritis
Negative
Rheumatoid arthritispossible but consider other aetiologies
ANA
Positive
ENA and dsDNA
Positive
Suspect SLE
Negative
SLE unlikely, consider other aetiologies
Negative
SLE unlikely, consider other aetiologies
Haemarthrosis
Imaging
Coagulopathy profile
No effusion/synovitis
Radiograph
Fracture, tumour, osteonecrosis
Suspect soft tissue problem
Ultrasound
Suspect mechanical joint problem
RA, CCP, arthrocentesis, ESR
Positive
Osteoarthritis unlikely, consider other aetiologies
Negative
Suspect osteoarthritis
Radiograph
Suspect inflammatory joint problem
Findings
Investigation
Condition
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