23 yrs old male. complain of the swollen painful non tender knee for 2 years.... diagmosis and management
Non tender huge effusion of knee for two years need to be clinically evaluated Chronic non tender effusion of knee may be due to A. Osteoarthritic effusion B. Rheumatoid arthritis C. Old injury of knee like menisicus and other other ligaments injury D. Tuberculous arthritis E. Septic arthritis F. Malignancy G Haemophilic effusion H Charcot's joint due diabetic neuropathy sensory motor and autonomous. Though age does not support. Blood examination including ESR Blood for C Reacting protein and test for any any abnormal coagulopathy X-ray to see the bonny condition CT / MRI will give definitely confirmation of the diagnostic Aspiration of knee joint and go for culture sensitivity to see wheather septic or not Smear for AFB staining and Cytology
Non tender huge effusion of knee for two years need to be clinically evaluated Chronic non tender effusion of knee may be due to A. Osteoarthritic effusion B. Rheumatoid arthritis C. Old injury of knee like menisicus and other other ligaments injury D. Tuberculous arthritis E. Septic arthritis F. Malignancy G Haemophilic effusion H Charcot's joint due diabetic neuropathy sensory motor and autonomous. Though age does not support. Blood examination including ESR Blood for C Reacting protein and test for any any abnormal coagulopathy X-ray to see the bonny condition CT / MRI will give definitely confirmation of the diagnostic Aspiration of knee joint and go for culture sensitivity to see wheather septic or not Smear for AFB staining and Cytology
? SEPTIC ARTHRITIS.. ? MALIGNANCY.. ? CHARCOT ARTHROPATHY .. NEED'S..INVESTIGATIONS FOR CONFIRMATION AND MANAGEMENT.. * FNAC .. BIOPSY.. * X-RAY STUDY.. * USG STUDY..
Swelling of rt knee CBC CRP MT xray rt knee ap standing lateral sitting MRI of rt knee ra test anticcp serum calcium & uric acid if effusion tap & fluid for routine ra adacell gene expert malignant cell looks monocular arthritis may be tuberculous
Hemophiliac arthritis with pseudotumor. Elicit bleeding history in pt and maternal male relatives .zDo initially screening tests ct,but,pt,aptt, knee xray and then take call. Dd tb arthritis, chronic pyogenic arthritis.
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? Pyogenic arthritis ? Malignant Bone tumour - However, detail clinical evaluation, Imaging study, FNAC, ( Culture & Sensitivity Test- if purulent material), biopsy for needful.
Please investigate for malignancy , Tuberculous arthritis, septic arthritis osteoarthritic effusion
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