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Mr. D.:

  • 56-year-old salesman
  • Experienced joint pain before but never this bad
  • Wrist feels tight and swollen to him
  • A few years ago had a lot of trouble with a sore right knee for several weeks. It finally settled down when he took ibuprofen regularly.
  • His right shoulder has a nagging ache, which he thought was from playing squash. Otherwise he has been fine.
  • Takes ibuprofen 200 mg prn
First four would be included in differential diagnosis:
Septic joint
Gout
Pseudogout (CPPD)
Rheumatoid arthritis
Seronegative arthritis
Polymyalgia rheumatica
None of the above

next: exam

 

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Last updated: September 03rd, 2007



 
 
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