Monoarthopathies Flashcards

1
Q

What are the differentials for a hot swollen singular joint?

A
Septic joint
Reactive 
Inflammatory 
Gout/ crystal arthritis 
Trauma/ injury
Haemarthrosis
Bursitis 
Cellulitis
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2
Q

Risk factors for septic joint?

A
Very young or old
Diabetes
Rheum arthritis
Event joint surgery
Prosthetic joints
Skin infections
Ulcers
Intravenous drug use
Alcoholism
Intra-articular steroid injection
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3
Q

Investigations for a swollen joint?

A

Bloods, normal and cultures,
Aspirate (septic!) plus microscopy and polarised crystals
Sexual health screen(community)
X-ray

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4
Q

What’s the treatment for acute gout?

A

NSAIDs
Colchicine
Steriods

Chronic - allopurinol

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5
Q

What is seen in gout aspiration?

A

Gout - negatively bifringent crystal needles (urate )

Pseudogout - positively bifringent rhomboids. (Calcium pyrophosphate)

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6
Q

What are the risk factors for pseudogout?

A
Hyperparathyriodism 
Hypothyriodism
Haemochromatosis 
Acromegaly
Low magnesium
Wilson's disease
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7
Q

Rx for septic arthritis?

A

IV abx 4 weeks

Wash out

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