pt. 46yr. c/o pain in left knee from 2-3 days. no h/o trauma .No bp. and DM. please diagnosis and Rx.



swelling is seen it could be prepatellar bursitis,most probably over use of joint or strain,could be because of OA,RA,Gout,if warmth around and fever think of septic bursitis Clinical examination,joint mobility,x ray treatment apply ice pacts,rest to the joint,NSAID like Indomethacin/Naproxene/Aceclofenac. if not relived Aspiration,MRI and accordingly treat.

investigate in the line of arthritis carry it crp esr serum uric acid double DNA. there is swelling Rule out sarcoma. do tft. if negative findings, of course x-ray is must.may have to carry out MRI. my choice of treatment will be local intraarticular steroid injection provided nothing serious.

mono articular arthritics. inflammatory synovitis with effusion. adv .x-ray crp esr uric acid estimation. total protien. treatment rest. eterocxib 120 paracetamol. if effusion is fluctuating, aspirat.crep bandage. get aspirat examined.

osteo arthritis cap Indomethacin SR 75 OD. Calcium pantothenate OD Dynapar QPS spray application physiotherapy all for 2 seek All the investigation X Ray AP Lateral view ASO factors VDRL test uric acid to rule out Gout

it is r.a needs NSAID hot fomantation till pain subside give rest to the jt after that physok with nsaid

Information supplied is inadequate Significant effusion (see the suprapatellar crescent). There's also a bit of redness, medial, a little more than lateral. Your top d/d contenders are trauma, septic arthritis, Crystal arthropathy, and monoarticular RA Apart from regular blood work up, aspiration and synovial fluid analysis should point you in the right direction. With the short history, XRay is unlikely to give you much information. MRI might. treatment depends on the identified cause

Oa dd effusion dd gout dd monoarticular arthritis dd perichondritis

Do MRI of knee.Clinically looks like an abcess

swelling is present...examine the prepattellar region....Nd do knee aspiration..

May be a case of reactive arthritis . Thorough history , meticulous clinical examination necessary . Along with peripheral blood tests aspirate material will certainly give clue to diagnosis

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