Joint Pain

  • View
    212

  • Download
    0

Embed Size (px)

DESCRIPTION

no name

Transcript

(Arthralgia) (Arthritis)

PAGE : 5

(Arthralgia and Arthritis)

.

80 ( joint pain ) arthralgia, arthritis periarticular inflammation

Arthralgia arthralgia Arthritis (joint line) Periarticular inflammation bursa I arthralgia, arthritis periarticular inflammation ( 1) 1.

(joint pain)

arthralgia

arthritis periarticular

inflammation

arthralgia arthritis periartricular inflammation ( 2)

2. (arthritis)

(periartricular inflammation)

(arthtitis)

(periarticular inflammation)

--

--

--

--

active ROM* passive ROM - ROM- active ROM passive ROM

* ROM = range of motion (signs of arthritis) 3 1. (joint swelling)

2. (tenderness along the joint line)

3. (limitation range of motion)

1. (joint swelling)

(generalized swelling) (joint effusion) (synovial proliferation) sign of patellar ballotment ( 1) sign of fluid displacement (2)

(doughy boggy appearance) fine crepitation ()

1. Sign of patellar ballotment

suprapatellar pouch femoral condyle femoral condyle

2. Sign of fluid displacement periartricular inflammation ( 3)

3.

2. (tenderness along the joint line)

(intraarticular) (periartricular) ( 4-14) (tendinitis) (enthesitis) 4-13.

4. PIP joint

5. MCP joint

6. MCP joints

7 8. 90 medial

lateral epicondyles olecranon process (paraolecranon groove)

9. coracoid process

10. mid inguinal ligament 1 11. 90 tibia

12.

13. subtalar joint

3. (limitation range of motion)

(range of motion- ROM) active ROM passive ROM

active ROM () () passive ROM

passive ROM passive ROM

acive ROM passive ROM active ROM passive ROM (pain on active ROM) (arthritis MCP, PIP DIP joints) passive ROM (flexor digital tendinitis) passive ROM (hyperextension)

1. 2. (crepitation)

( 14) crepitus 2 (fine crepitus) (course crepitus) fine crepitus course crepitus (rice bodies)

14. crepitus3. (deformity) 4. (hypotrophy) (weakness) (spasm) 2 (disused atrophy) carpal tunnel syndrome ( median nerve palsy)

(paravertebral muscles) (spinal diseases) II 2

1. ( 6 ) ( 6 )

2. (monoarticular arthritis) (polyarthritis) monoarticular arthritis ( 4 polyarthritis 2-3 3 oligoarthritis monoarthritis

4 acute monoarthriis, acute polyarthritis, chronic monoarthritis, chronic polyarthritis ( 3) ( 1)

3 Acute monoarthritisAcute polyarthritisChronic monoarthritisChronic polyarthritis

Pyogenic

Gout

Pseudogout

Acute rheumatic fever

Traumatic arthritis

Reiters disease

Psoriasis

Rheumatoid arthritis

Hemophilic arthritisAcute rheumatic fever

Pyogenic (2-3 )

esp. GC, salmonella

SLE

Serum sickness

Reiters disease

Psoriatic arthritis Ankylosing spondylitis

Viral

Leukemia

Hemophilic

Chronic infection (TB,

pyogenic, fungus)

Osteoarthritis

Gout

Pseudogout

Avascular necrosis

Tumor

NeuropathicRheumatoid

Gout

Pseudogout

Osteoarthritis

Psoraitic

Ankylosing spodylitis

SLE

Other connective

tissue diseases

Hypertrophic

osteoarthropathy

Neuopathic

III 3

(provisional diagnosis) 2 (data collection, 1-13 ) (data analysis) (hypothesis generation) ( 4 ) (hypothesis evaluation)

1. SLE ankylosing spondylitis Reiters syndrome 2. 3. post-traumatic arthritis 4. 5.

(SLE ) ( )

seronegative spondyloarthropathy

6. (morning stiffness) 1 7. 8. 9. ankylosing spondylitis 10. (course natural history ) (acute) (recurrent) (chronic with exacerbation)

11. ( NSAIDs ) 12. connective tissue diseases SLE 13. hemophillic arthritis

3 EMBED OrgPlusWOPX.4

_964450718.bin