Concluded Case

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A lady of 50years of age. H.O HBP and asthma but both under control by drugs . Undergo a fall on the floor ,there occurs brusing but after sometime it heals , Later after 2 months or so due to increase use of the knee joint she complaint of pain and the pain gets severe day by day . X ray normal . MRI revealed fluid collection . Suggest the proper diagnosis and treatment !.

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Concluded answer

After injury pt was not managed properly or some injury may occur later. If effusion is there Keep knee immobilize with knee braces and complete rest. NSAID ORALLY and physiotherapy. No steroid or massage. Regular monitoring and constant evaluation required.

All Answers

Due to fall sustained bruises suggest collection of blood ie hemarthropathy Which in due course of time resolved and serosanginous fluid collection remaine which is seen on MRI that has r/o bony injury Since pt is of htn and asthma Stop steroid if pt is taking Give knee braces and immobilized the knee for 4 weeks If fluid reabsorption complete NSAIDs and physiotherapy can be given otherwise adv aspiration of fluid and than give knee braces and immobilization

Thanx dr Ashok Leel
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1) Ecchymosis, ? Senile,? Drug related . Need to rule out coagulopathies. 2) OA knee with effusion. Since there is Ecchymosis, need to do aspiration of fluid around knee joint to rule out hemorthrosis, septic arthritis, TB arthritis

Valuable opinion
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After injury pt was not managed properly or some injury may occur later. If effusion is there Keep knee immobilize with knee braces and complete rest. NSAID ORALLY and physiotherapy. No steroid or massage. Regular monitoring and constant evaluation required.

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Effusion Haematoma Tapping Cbnat Ra test uric acid

Thank you doctor
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POSSIBLY OSTEO-ARTHRITIS AND EFFUSION HAEMATOMA

Thank you doctor
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