knee pain

knee pain -CITRUS
color,bruises crackles on movement 

infection
trauma temperature of knee ,tick's bite, time 
redness, rash ,raynaud
Ulcer in mouth (photosensitivity,hair loss)
swelling, stiffness, std hx

PHYSICAL EXAMINATION for Knee Pain

  • Mouth: Inspection (Look for ulcers to rule out SLE)
  • Musculoskeletal exam: Inspection, Palpation, ROM of both knees. Examine other joints (Wrist, shoulder, elbow, hands, fingers, hip)
  • Hair & Skin exam: Inspection
  • Cardiovascular exam: Auscultation
  • Pulmonary exam: Auscultation
  • Abdominal exam: Inspection, Auscultation, Palpation, Percussion
DIFFERENTIAL DIAGNOSIS for Knee Pain 
  • Gout
  • Pseudogout
  • Systemic lupus erythematosus(SLE)
  • Rheumatoid arthritis
  • Gonococcal arthritis
  • Septic arthritis
  • Osteoarthritis
DIAGNOSTIC WORKUP for Knee Pain Mnemonic
  • Pelvic examination
  • Cervical culture
  • Knee aspiration & Synovial fluid analysis
  • XR of knees
  • CBC
  • ANA, Anti-dsDNA, Rheumatoid factor
  • Blood culture

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