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Differential Diagnosis of a Patient Presenting With a Knee Effusion

Differential Diagnosis of a Patient Presenting With a Knee Effusion Knee injuries represent some of the most clinically challenging musculoskeletal disorders in emer- gency department patients. One of these is knee effusion. Knee joint swelling may be due to inflammation, infection, trauma, or other causes. The purpose of this article is to discuss the as- sessment and management of patients with knee effusions via an actual case presentation. It is imperative for the healthcare provider to appropriately assess and manage the patient with a knee effusion since it may be a septic joint. Failure to recognize the severity of the problem may lead to increased morbidity and mortality. Key words: infectious knee joint, knee effusion, monoarticular arthritis, septic arthritis, septic knee joint, soft tissue knee injury CASE PRESENTATION of 1–10, the patient initially rated his pain as 5 at triage; however, the pain increased to History of Present Illness 10/10 when he was brought back to the main A 46-year-old white male presented to the ED. The patient took some acetaminophen for emergency department (ED) with severe right pain and stated. “It has not helped much.” knee pain for the past week and swelling over The patient also complained he is now un- the joint for the past 3 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Differential Diagnosis of a Patient Presenting With a Knee Effusion

Advanced Emergency Nursing Journal , Volume 29 (3) – Jul 1, 2007

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Copyright
© 2007 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/01.TME.0000286964.79040.b8

Abstract

Knee injuries represent some of the most clinically challenging musculoskeletal disorders in emer- gency department patients. One of these is knee effusion. Knee joint swelling may be due to inflammation, infection, trauma, or other causes. The purpose of this article is to discuss the as- sessment and management of patients with knee effusions via an actual case presentation. It is imperative for the healthcare provider to appropriately assess and manage the patient with a knee effusion since it may be a septic joint. Failure to recognize the severity of the problem may lead to increased morbidity and mortality. Key words: infectious knee joint, knee effusion, monoarticular arthritis, septic arthritis, septic knee joint, soft tissue knee injury CASE PRESENTATION of 1–10, the patient initially rated his pain as 5 at triage; however, the pain increased to History of Present Illness 10/10 when he was brought back to the main A 46-year-old white male presented to the ED. The patient took some acetaminophen for emergency department (ED) with severe right pain and stated. “It has not helped much.” knee pain for the past week and swelling over The patient also complained he is now un- the joint for the past 3

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Jul 1, 2007

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