Beyond Osteoarthritis: Recognizing and Treating Infectious and Other Inflammatory Arthropathies in Your Practice

被引：4

作者：

Haile, Zewdu ^{[1
]}

Khatua, Sanjeeb ^{[1
]}

机构：

[1] Hinsdale Family Med Residency, Hinsdale, IL USA

来源：

PRIMARY CARE | 2010年 / 37卷 / 04期

关键词：

Arthritis; Infection; Primary care; Diagnosis; Management; ARTHRITIS;

D O I：

10.1016/j.pop.2010.07.004

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

About 15% of patients presenting in a primary care clinic have joint pain as their primary complaint (level B) Disseminated gonorrhea is the most common cause of infectious arthritis in sexually active previously healthy patients (level B) Prompt arthrocentesis microscopic examination and the culture of any purulent material plus appropriate antibiotic therapy are the mainstay of treatment in infectious arthritis (level C) Detailed history including family history and comprehensive examination is more useful in accurate diagnosis than expensive laboratory and radiological investigations for noninfectious arthritis (level C) Regarding inflammatory noninfectious arthritis with the potential to cause destructive Joint damage early referral to a subspecialist when indicated increases the likelihood of optimal outcome (level C) Nonsteroidal antiinflammatory drugs are the first line of therapeutic agents to reduce pain and swelling in the management of most noninfectious inflammatory arthritis seen in the primary care office (level C)

引用

页码：713 / +

页数：16