Knee pain resident survival guide: Difference between revisions

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{{familytree/start |summary=Knee pain.}}
{{familytree/start |summary=Knee pain.}}
{{familytree | | | | | | | | | | | | | A01 | | | A01=<div style="float: left; text-align: left; width: 15em; padding:1em;">'''Seek proper history:'''<div class="mw-collapsible mw-collapsed"><br>  
{{familytree | | | | | | | | | | | | | A01 | | | A01=<div style="float: left; text-align: left; width: 15em; padding:1em;">'''Seek proper history:'''<br>  
* Onset of knee pain <br>  
* Onset of knee pain <br>  
* Have you noticed: <br>  
* Have you noticed: <br>  
❑ Warmth of joint <br> ❑ Redness of joint <br> ❑ Stiffness of joint <br> ❑ Swelling of joint <br> ❑ Weakness of joint <br> ❑ Numbness or tingling of joint <br> ❑ Discoloration of fingers in the cold <br> ❑ Discomfort on exposure to sunlight <br> ❑ Pain in any other joint </div> }}
❑ Warmth of joint <br> ❑ Redness of joint <br> ❑ Stiffness of joint <br> ❑ Swelling of joint <br> ❑ Weakness of joint <br> ❑ Numbness or tingling of joint <br> ❑ Discoloration of fingers in the cold <br> ❑ Discomfort on exposure to sunlight <br> ❑ Pain in any other joint </div> }}
{{familytree | | | | | | | | | | | | | |!| | | | | | }}
{{familytree | | | | | | | | | | | | | |!| | | | | | }}
{{familytree | | | | | | | | | | | | | B01 | | | B01=<div style="float: left; text-align: left; width: 15em; padding:1em;">'''Examine the patient:'''<div class="mw-collapsible mw-collapsed"><BR> ❑ HEENT signs:
{{familytree | | | | | | | | | | | | | B01 | | | B01=<div style="float: left; text-align: left; width: 15em; padding:1em;">'''Examine the patient:'''<BR> ❑ '''HEENT signs''':
* Conjunctival [[pallor]]
* Conjunctival [[pallor]]
* [[Jaundice]]<br>
* [[Jaundice]]<br>
❑ Inspection of the knee:
❑ '''Inspection''':
* Skin changes
* Skin changes
* Color changes
* Color changes
* Physical abnormality
* Physical abnormality
* Swelling
* Swelling
* Scar marks<br>❑ Palpation of knee </div> }}
* Scar marks <br>
❑ '''Palpation''':
* Look for pain on palpation <br>
❑ '''Range of motion''': </div> }}
{{familytree/end}}
{{familytree/end}}


Revision as of 14:34, 28 January 2021

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tayyaba Ali, M.D.[2]

Synonyms and keywords:

Overview

Causes

Common Causes

Traumatic and activity-related causes of knee pain

Anterior Knee Pain
  • Patellar subluxation or dislocation
  • Tibial apophysitis (Osgood-Schlatter lesion)
  • Jumper's knee (patellar tendonitis)
  • Patellofemoral pain syndrome (chondromalacia patellae)
Medial Knee Pain
  • Medial collateral ligament sprain
  • Medial meniscal tear
  • Pes anserine bursitis
  • Medial plica syndrome
Lateral Knee Pain
  • Lateral collateral ligament sprain
  • Lateral meniscal tear
  • Iliotibial band tendonitis
Posterior Knee Pain
  • A popliteal cyst (Baker's cyst) as a result of sport-related injury
  • Posterior cruciate ligament injury [1]

Non-Traumatic causes of knee pain

Unilateral Knee Pain
  • Septic Arthritis
  • Gout
  • Pseudogout (acute calcium pyrophosphate crystal arthritis)
Bilateral Knee Pain
  • Osteoarthritis [2]
  • Rheumatoid Arthritis [3]
  • Systemic Lupus Erythematosis
  • Baker cyst as a result of Rheumatoid arthritis and Osteoarthritis [2]

Diagnosis

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according to the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
Seek proper history:
  • Onset of knee pain
  • Have you noticed:
❑ Warmth of joint
❑ Redness of joint
❑ Stiffness of joint
❑ Swelling of joint
❑ Weakness of joint
❑ Numbness or tingling of joint
❑ Discoloration of fingers in the cold
❑ Discomfort on exposure to sunlight
❑ Pain in any other joint
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Examine the patient:
❑ HEENT signs:

❑ Inspection:

  • Skin changes
  • Color changes
  • Physical abnormality
  • Swelling
  • Scar marks

❑ Palpation:

  • Look for pain on palpation
❑ Range of motion:
 
 

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References

  1. ↑ "www.aafp.org" (PDF).
  2. ↑ 2.0 2.1 Hussain, SM; Neilly, DW; Baliga, S; Patil, S; Meek, RMD (2016). "Knee osteoarthritis: a review of management options". Scottish Medical Journal. 61 (1): 7–16. doi:10.1177/0036933015619588. ISSN 0036-9330.
  3. ↑ Scott, David L; Wolfe, Frederick; Huizinga, Tom WJ (2010). "Rheumatoid arthritis". The Lancet. 376 (9746): 1094–1108. doi:10.1016/S0140-6736(10)60826-4. ISSN 0140-6736.
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