67/Female with Severe pain in Knee Joint Treated with Analgesics but not Resolved Kindly Give ur suggestions



?Traumatic arthritis ?Osteoarthritis Needs clinicopathological evaluation Blood CBC ESR R.A.factor Uric acid Meanwhile treat with Apprpriate antibiotics with Nsaid

Thanks Dr Kishor Shaha

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Monoarticular pain with swelling and tenderness.... Rule out Trauma f/b infective causes... Give analgesics and do USG of this joint.... If still inconclusive, synovial fluid may be aspirated and sent for analysis but it shd be last option...

? Septic arthritis ? Osteoarthritis Needs clinicopathologic evaluation X-ray

?OA Radiological evaluation should be done

Diagnosis: • OA knee • ? Haemarthrosis • ?Tubercular OA Investigations: - USG knee - X-ray Knee - Joint Aspiration and analysis Treatment: - Analgesic - Antiinflammatory drugs - Needle Aspiration (if haemarthrosis) - ATT ( if TB OA) - TKR ( last resort for unresponsive d/s)

Go for blood profile and x- ray earlier than to reach any conclusion or treatment part .once the picture is clear , we can plan further for treatment.

OA. R/O ligament tear,#patella & any bone of joint, Rheumatoid Arthritis, Septic arthritis, synovial Effusion,Gouty arthritis, tubercular,

osteoarthritis with flare do serum uric acid levels xray of knee joint vitamin d3 with ostocalcium ubevestin

Its OA knee. If not getting resolved by conservative trestment then TKR( TOTAL KNEE REPLACEMENT)

Lytix super tab daily two 3months Ark spray ovin d3 60 k 4cap weekly once four weeks

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