Knee Joint Pain

Question 1

Differentials

Answer 1

Osteoarthritis
Clicking sound
Past history of trauma or surgery

Septic Arthritis
Fever
Redness
Oedema

Rheumatoid Arthritis
Early morning stiffness
Small joint pain

Neuro
Back pain
Hip pain
Numbness
Weakness

Trauma
History of trauma

Question 2

Management

Answer 2

Conservative
Weight reduction
Regular exercise
Heat therapy
Physiotherapy

Medical
NSAIDS
PCM
Intra-articular steroids

Surgical
Arthroscopic and Arthroscentesis
Realignment osteotomy
TKR or partial replacement

Question 3

Investigations

Answer 3

Imaging
X Ray weight bearing AP/Lateral
MRI
Arthroscopy

Bloods
FBC
CRP
ESR
Rheumatoid factor
Culture and ABST

Aspirate
Culture and ABST
Cytology
Full report