Formulating a Differential Diagnosis for the Advanced Practice Provider, Second Edition by Rhoads Jacqueline Penick Julie C
Author:Rhoads, Jacqueline,Penick, Julie C.
Language: eng
Format: epub
Publisher: Springer Publishing Company, Inc.
Published: 2017-09-14T16:00:00+00:00
INTRODUCTION TO COMPLAINT
Knee pain is a common complaint in primary care. The most common cause is osteoarthritis (OA).
Acute Knee Pain
•The knee is a joint that is frequently injured in weight-bearing sports:
Medial/lateral meniscus injury
–Medial more common than lateral
Medial collateral ligament/lateral collateral ligament (MCL/LCL) injury
–Medial more common than lateral
Anterior cruciate ligament/posterior cruciate ligament (ACL/PCL) injury
–Anterior more common than posterior
•Gout
•Fracture
Chronic Knee Pain
•Common site of OA in population older than 50 years
Uncommon But Not to Be Missed Etiology
•Septic arthritis
•Rheumatoid arthritis (RA)
•Malignancy
Consider Mixed Etiology
•Acute injury with OA
•Systemic condition with OA or acute injury
Consider Age of Patients
•Pediatric population:
Osgood–Schlatter disease
Patellar tendinitis (jumper’s knee)
Osteochondritis dissecans
Patellar subluxation
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