please help..A female 40 yrs age having severe knee jt pain here is mri report what should b d treatment ..is opt is necessary .

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any history of trauma? rule out septic arthritis first also get esr crp ra factor done as possibility of ra presenting as mono arthritis cant be ruled out also keep possibility of enteropathic arthritis like crohns disease so history is important any history of constitutional symptoms like fever weight loss decreased appetite is important

aspiration of synovial fluid required for colour, viscosity, cell count, gm stain, culture for pain give indocap sr 75 mg bd any history of fever, dm?

a thorough history including h/of Early morning stiffness , fever, preceding diarrhoea, any other joint involvement and blood investigations including Crp Esr RF and Anticcp

Pt body weight? C-rp, Rd factor, skeletal survey, lipid profile, lft, s.ca+,s.phosphate, ESR, s.uric acid, haemogram, to rule out osteoporosis , what about menstruation? Is she menstruating or not? Then tackle bone stock , most probably it is osteoporosis osteomalacia, osteopenia, if you tackle that entity she will be happy

esr crp ra factor and synovial fluid aspiration report? history of ra may not be there hist. of tb?

please refer to a Rheumatologist... biopsy of synovium is essential.. Infections have to be ruled out..if only inflammation is there..DMARDs and steroids may be required

history of tb also important

(1.) Hb/TC/DC/ESR , CRP test, RA test, Anti-CCP test , S.Uric acid levels. (2.) X-Rays of patient. (3.) To r/o h/o Koch's -- by constitutional symptoms. (4.) Clinical signs of affected knee. Once these basics are followed , further line of management can be decided. Till then anti- inflammatory drugs for symptomatic relief.

clinical history

arthroscopic of knee joint with biopsy

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