Red 2

Musculoskeletal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with an acute monoarthritis, in a background of Rheumatoid Arthritis (RA).\n\nKey diagnoses include a flare-up of RA, as well as septic arthritis, crystal arthropathies, reactive arthritis and bursitis.\n\nAn important clinical point to note is that, in postmenopausal women, acute gout should be considered in the differential diagnosis of a swollen knee, due to the absence of the uricosuric effects of estrogen.\n\nThree important points should be considered immediately:\n- The knee joint symptoms are out of proportion to the disease activity detected in the other joints.\n- She is on long-term immunosuppressive therapy \n- Patients with long-term RA are at increased risk for joint sepsis (because of both the disease proces"}]}

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