Septic arthritis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
=== Appearance of the Patient === | === Appearance of the Patient === | ||
Patient with septic arthritis usually appears toxic and with joint pain that involved | * Patient with septic arthritis usually appears toxic and with joint pain that involved | ||
* If chilld, appears irritable | |||
=== Vital Signs === | === Vital Signs === | ||
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Most commonly involves knee > hip > shoulder > ankle.<ref name="pmid3498362">Barton LL, Dunkle LM, Habib FH (1987) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=3498362 Septic arthritis in childhood. A 13-year review.] ''Am J Dis Child'' 141 (8):898-900. PMID: [https://pubmed.gov/3498362 3498362]</ref> Other joints such as sacroiliac joint (~10%), sternoclacicular or costoclavicular joints may be involved in patient with history of intravenous drug abuse (IVDA), penetrating trauma, animal or human bites and local steroid injections. | Most commonly involves knee > hip > shoulder > ankle.<ref name="pmid3498362">Barton LL, Dunkle LM, Habib FH (1987) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=3498362 Septic arthritis in childhood. A 13-year review.] ''Am J Dis Child'' 141 (8):898-900. PMID: [https://pubmed.gov/3498362 3498362]</ref> Other joints such as sacroiliac joint (~10%), sternoclacicular or costoclavicular joints may be involved in patient with history of intravenous drug abuse (IVDA), penetrating trauma, animal or human bites and local steroid injections. | ||
* Swelling of the joint that involved | * Swelling of the joint that involved | ||
* Decreased range of motion | * Decreased range of motion such as pseudo paralysis | ||
* Patient hold the hip in flexed and externally rotated position if SA involving hip. | * Patient hold the hip in flexed and externally rotated position if SA involving hip. | ||
* If child, unwillingness to bear weight on the affected joint | |||
==References== | ==References== | ||
Revision as of 23:53, 24 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]
Overview
Physical Examination
Appearance of the Patient
- Patient with septic arthritis usually appears toxic and with joint pain that involved
- If chilld, appears irritable
Vital Signs
- Low grade fever. Chills and spiking fever are very rare.
- Hyperthermia over the joint involved
- Tachycardia
- Tachypnea
Skin
- Warm over the joint
- Erythema over the around the joint that involved
- Disseminated gonococcal infection often present with skin lesions, typically multiple, painless macules and papules, most often found on the arms or legs or on the trunk.[1]
Extremities
Most commonly involves knee > hip > shoulder > ankle.[2] Other joints such as sacroiliac joint (~10%), sternoclacicular or costoclavicular joints may be involved in patient with history of intravenous drug abuse (IVDA), penetrating trauma, animal or human bites and local steroid injections.
- Swelling of the joint that involved
- Decreased range of motion such as pseudo paralysis
- Patient hold the hip in flexed and externally rotated position if SA involving hip.
- If child, unwillingness to bear weight on the affected joint
References
- ↑ Goldenberg DL (1998) Septic arthritis. Lancet 351 (9097):197-202. DOI:10.1016/S0140-6736(97)09522-6 PMID: 9449882
- ↑ Barton LL, Dunkle LM, Habib FH (1987) Septic arthritis in childhood. A 13-year review. Am J Dis Child 141 (8):898-900. PMID: 3498362