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HomeThe differential diagnosis of joint painPattern recognition and the differential diagnosisSystemic features and differential diagnosisPatient demographics and differential diagnosisMaking sense of the swellingSummarySuggested references

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Continuing Medical Education: Synovitis.

Edited By: Gregory C. Gardner, M.D.
Last updated Thursday, February 10, 2005

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Summary

It is important to remember that except for a few emergent conditions (septic arthritis, endocarditis) and urgent conditions (multisystem SLE) there is time to watch and evaluate the patient. I try to order tests sequentially rather than "shotgun" approach at the outset. I have been reminded by several patients the financial burden I placed on them by trying to cover all bases early on. By keeping in mind the 6 key concepts of arthritis evaluation, one can hopefully have an easier time making sense of the swelling!

Suggested references

  1. Primer on the Rheumatic Diseases. Ed, Schumacher HR Jr. Tenth Edition, Arthritis Foundation, Atlanta, 1995.
  2. Textbook of Rheumatology. Eds, Kelly WN, Harris ED, Ruddy S, Sledge CB. Fourth Edition, WB Saunders, Philadelphia, 1993.
  3. Clinical Rheumatology. Ed, Moskowitz R, Third Edition, WB Saunders, Philadelphia, 1989.
  4. Gardner GC: Polymyalgia rheumatica, temporal (giant cell) arthritis, and Takayasu's arthritis. In: Treatment of Rheumatic Diseases, Weisman MH, Weinblatt ME (Editors). Philadelphia, WB Saunders, pp 154-171, 1995.
  5. Barland P, Lipstein E: Selection and use of laboratory tests in the rheumatic diseases. Am J Med 1996; 100(suppl 2A):16S-23S.
  6. Churchill MA, Geraci JE, Hunder GG: Musculoskeletal manifestations of bacterial endocarditis. Ann Int Med 1977; 87:754-759.
  7. Steere A: Lyme Disease. N Eng J Med 1989; 321:586-596.
  8. Kahn MA (ed): Ankylosing spondylitis and related spondyloarthropathies. Spine. State of the Art Reviews 1990;4:497-688.

Surgery for arthritis at the University of Washington

If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-4288 (outside the Seattle area: 800-440-3280) to make an appointment.

Disclaimer

This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.


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