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Joint pain

R Sorokin1, S B Ward

  • 1Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

The Medical Clinics of North America
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

This review guides internists in diagnosing joint pain by focusing on patient history, physical exams, and basic lab tests. It aims to equip physicians to effectively manage most cases of joint pain.

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Area of Science:

  • Internal Medicine
  • Rheumatology
  • Diagnostic Medicine

Background:

  • Joint pain is a common presenting complaint in internal medicine.
  • Accurate diagnosis is crucial for effective patient management.
  • A systematic approach aids in identifying the underlying cause of joint pain.

Purpose of the Study:

  • To provide an internist with a structured approach to diagnosing joint pain.
  • To highlight key elements of history taking and physical examination for joint pain evaluation.
  • To review the utility of basic laboratory tests in the diagnostic workup of joint pain.

Main Methods:

  • Review of clinical guidelines and literature on joint pain diagnosis.
  • Emphasis on differential diagnosis based on patient history and physical findings.

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  • Discussion of appropriate initial laboratory investigations.

    • Main Results:

    • A thorough history and physical examination are paramount for initial diagnosis.
    • Simple laboratory tests can help narrow down the differential diagnoses.
    • General management principles are outlined, excluding specific disease therapies.

    Conclusions:

    • Internists can successfully diagnose the majority of joint pain cases with a systematic approach.
    • This review provides a practical framework for internists managing patients with joint pain.
    • Further investigation may be needed for complex or refractory cases.