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Evaluating arthritic complaints.

M C Collo1, J L Johnson, W R Finch

  • 1Carl T. Hayden VA Medical Center, Phoenix, Ariz.

The Nurse Practitioner
|February 1, 1991
PubMed
Summary
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Diagnosing joint pain in adults requires differentiating arthritis from over 100 other conditions. A systematic approach involving history, physical exam, and tests is crucial for accurate musculoskeletal complaint diagnosis.

Area of Science:

  • Rheumatology
  • Primary Care Medicine
  • Diagnostic Medicine

Background:

  • Musculoskeletal complaints are common in primary care, with over 100 potential causes.
  • Accurate diagnosis of joint and muscle symptoms is challenging.
  • Identifying specific arthritic conditions and those requiring urgent referral is critical.

Purpose of the Study:

  • To outline a logical diagnostic process for joint disorders in adults.
  • To discuss key arthritic and related conditions encountered in primary care.
  • To highlight the importance of differentiating true arthritis from other causes of joint pain.

Main Methods:

  • Review of diagnostic steps for joint disorders.
  • Analysis of thorough patient history and physical examination findings.

Related Experiment Videos

  • Integration of laboratory and X-ray results in diagnosis.

    • Main Results:

    • Septic arthritis, osteoarthritis, rheumatoid arthritis, crystal-induced diseases, HIV-associated arthritis, seronegative spondyloarthropathies, and systemic lupus erythematosus are discussed.
    • The study emphasizes differentiating arthritis from over 100 other conditions.
    • A structured approach aids in diagnosing musculoskeletal complaints.

    Conclusions:

    • A systematic diagnostic strategy is essential for managing adult joint disorders.
    • Understanding common and critical arthritic conditions improves patient outcomes.
    • Comprehensive evaluation including history, exam, and diagnostics leads to accurate diagnosis.