Joint swelling and pain

Introduction Joint swelling and pain refers to swelling, flushing, fever and limited movement around the joint, which is a clinical manifestation of various diseases. In order to be able to select the clinic more accurately, it is necessary to analyze the patient's age, gender, medical history, long-term living environment, occupation and accompanying symptoms, and then make a preliminary judgment. Of course, the diagnosis is based on detailed physical examination and laboratory conditions.

Cause

Classification and common diseases

Acute joint swelling and pain

(1) Acute infectious arthritis: Arthritis caused by various bacterial or viral infections, such as septic arthritis and brucellosis.

(2) Autoimmune and allergic arthritis: such as rheumatoid arthritis, serum arthritis and allergic purpura.

(3) Metabolic arthritis: such as acute gouty arthritis.

2. Chronic joint swelling and pain

(1) Autoimmune chronic arthritis: such as rheumatoid arthritis, systemic lupus erythematosus, nodular polyarteritis, scleroderma and dermatomyositis.

(2) Chronic infectious arthritis: such as tuberculous arthritis.

(3) Metabolic disorders: such as gouty arthritis, bone hyperplasia.

(4) Arthritis caused by blood diseases: such as hemophilia.

(5) Traumatic arthritis: common joint pain and dysfunction left after trauma.

(6) Arthritis of unknown cause or cause: such as Kashin-Beck disease, psoriatic arthritis, etc.

an examination

Related inspection

Synovial fluid routine examination of bone and joint soft tissue CT examination

Swelling, flushing, fever and limited movement around the joints, mainly manifested as: knee, ankle, wrist, elbow and other joint effusion, pain.

According to the medical history, the patient's clinical manifestations and morbidity were examined and diagnosed.

1, adolescents, acute or slow onset, fever, joints are more symmetrical swelling and pain, nodules, erythema or bruises around the joints; adults, joint swelling and pain, accompanied by dysfunction or subcutaneous nodules Should be checked in the internal medicine.

2, side joint swelling and pain, feels like a sense of fluctuation, with fever; joint pain and pain in the history of trauma, should go to the orthopedics for examination.

3, the male patient, a history of hemophilia, sudden joint swelling and pain, should consider hemophilic arthritis, should go to the blood examination.

4, from the pastoral area, acute onset joint swelling and pain, with fever, should consider the possibility of brucellosis, to the infectious disease examination.

Differential diagnosis

Different joint diseases should go to different departments:

1. Internal medicine: adolescents, acute or slow onset, fever, joints are more symmetrical swelling and pain, patients with nodules, erythema or bruises around the joints should go to the internal medicine clinic. Adults, joint swelling and pain, patients with dysfunction or subcutaneous nodules should also go to the medical department.

2. Orthopedics: unilateral joint swelling and pain, feels like a sense of fluctuation, accompanied by fever, should go to the orthopedic clinic. Patients with joint pain and history of trauma should also go to the orthopedics.

3. Hematology: Young male patients, with a history of hemophilia, sudden joint swelling and pain, should consider hemophilic arthritis, hanging blood.

4. Contagious department: from pastoral areas, acute onset joint swelling and pain, accompanied by fever, should take into account the possibility of brucellosis, to the infectious disease clinic.

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