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:'''<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> ❑ [[Raynaud's Phenomenon|Discoloration of fingers in the cold]] <br> ❑ [[SLE|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:'''<BR> ❑ '''HEENT signs''':
{{familytree | | | | | | | | | | | | | B01 | | | B01=<div style="float: left; text-align: left; width: 15em; padding:1em;">'''Examine the patient:'''<BR> ❑ '''HEENT signs''':
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* [[Jaundice]]<br>
* [[Jaundice]]<br>
❑ '''Inspection''':
❑ '''Inspection''':
* Skin changes
* [[Skin changes]]
* Color changes
* Color changes
* Physical abnormality
* Physical abnormality
* Swelling
* [[Swelling]]
* Scar marks <br>
* Scar marks <br>
❑ '''Palpation''':
❑ '''Palpation''':
* Look for pain on palpation <br>
* Look for pain on palpation <br>
❑ '''Range of motion''': </div> }}
❑ '''Range of motion''':
* Perform [[extension]] and [[flexion]] of both [[knee joint|knee joints]] </div> }}
{{familytree/end}}
{{familytree/end}}



Revision as of 14:41, 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:
❑ 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:

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.