Episode 65 – Acute Joint Pain

Diagnosis and Management of Acute Joint Pain in the Emergency DepartmentInterview with author: Rachel Sullivan, MDWhy joint pain ?Differential Diagnosis Mono vs Poly Articular Presentation? Figure 1Infectious, degenerative, autoimmune, crystal deposition, reactive, traumaticSeptic Arthritis-Bimodal incidence RisksSeptic arthritis is polyarticular in 15% to 20% of cases, and in these cases, the mortality is highGonococcal Highest riskCommonly affected jointsSymptomatic or asymptomatic infection Lyme ArthritisViral - Zika, chikungunya, human parvovirus B19, hepatitisDegenerative osteoarthritis AutoimmuneGoutCPPDPrehospital ED History - table 2, table 4ED exam Labs - do we need them? ImagingArthrocentesis - Table 5TreatmentSpecial PopulationsProstheses Immunocompromised HIVClinical Pathway