Evaluation and Management of Septic Arthritis and its Mimics in the Emergency Department

Septic arthritis is a dangerous medical condition associated with significant morbidity and mortality. However, the differential diagnosis can be broad with conditions that mimic this disease and require different evaluation and treatment. This narrative review presents the emergency medicine evaluation and management, as well as important medical conditions that may mimic this disease. Septic arthritis commonly presents with monoarticular joint pain with erythema, warmth, swelling, and pain on palpation and movement. Fever is present in many patients, though most are low grade. Blood testing and imaging may assist with the diagnosis, but the gold standard is joint aspiration. Management includes intravenous antibiotics and orthopedic surgery consult for operative management vs. serial aspirations. Clinicians should consider mimics, such as abscess, avascular necrosis, cellulitis, crystal-induced arthropathies, Lyme disease, malignancy, osteomyelitis, reactive arthritis, rheumatoid...
Source: Western Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research

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The Food and Drug Administration once again failed to approve Recro Pharma's new drug application for its experimental non-opioid pain medication intravenous meloxicam. The federal agency, in its complete response letter (CRL) to the Malvern, Pa.-based pharmaceutical company, said the delayed onset of IV meloxicam fails to meet the prescriber expectations for intravenous drugs. The letter, according to Recro, also cited regulatory concerns about the role of IV meloxicam as a monotherapy in acute…
Source: bizjournals.com Health Care:Biotechnology headlines - Category: Biotechnology Authors: Source Type: news
AIMS: To assess the presence of dental pain in child abuse victims and to compare the findings to children in the same age group with no history of abuse in a Southern Brazilian city. METHODS: This cross-sectional comparative study was carried out ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
AbstractBackgroundSingle-incision laparoscopic surgery (SILS) for right colon cancer is going to be considered as a new option. The potential benefits, clinical, and oncologic outcomes are still controversial. The aim of this study was to investigate clinical and oncologic outcomes of single-incision laparoscopic surgery (SILS) compared to conventional laparoscopic surgery (CLS) for right colon cancer using propensity score matching analysis.MethodsFrom December 2013 to June 2017, 174 patients underwent laparoscopic radical right hemicolectomy through a single-incision (n = 32) or a conventional (n =&t...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Authors: Argüello-Viudez L, Mansilla Vivar R, Pons-Beltrán V, Digestive Endoscopy Unit, Digestive Diseases Department, La Fe Polytechnic University Hospital, Valencia, Spain. Gastrointestinal Endoscopy Research Group, IIS Hospital La Fe, Valencia, Spain Abstract A 54-year-old female patient was referred to our outpatient clinic in December 2017 due to unresolved epigastric pain. She underwent cholecystectomyin in October 2012 due to epigastric pain, without evidence of lithiasis or biliary sludge. Subsequently, the patient continued to present epigastric discomfort with episodes of epigastralgia and was...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
We present a case involving a 41-year-old man who had an IMT combined with Mycobacterium tuberculosis infection in the retroperitoneum. He presented with only pain in the right lower abdomen without accompanying symptoms; a retroperitoneal mass was found on computed tomography. The tumor had invaded the end of the ileum and was attached to the omentum, so mass excision could not be performed. The tumor was completely excised surgically and had histological features diagnostic of an IMT. Histologic findings of the omentum were positive for Ziehl-Nielsen staining for acid-fast bacilli and for a positive polymerase chain reac...
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
Conclusion: ABP and BOS resulted in clinically meaningful outcomes, including higher success rate, duration of air leak stop, lung expansion, and hospital stay, with an acceptable safety profile.Respiration
Source: Respiration - Category: Respiratory Medicine Source Type: research
The Food and Drug Administration has issued a Safety Communication regarding implantable pumps used for drug administration and the risks of using medications not approved for use with the pumps to treat or manage pain.Nurses who work with patients receiving intrathecal delivery of pain medication via an implantable pump are urged to carefully read the pump's labeling to identify which medications are approved for use with the pump.
Source: AJN - Category: Nursing Tags: Drug Watch Source Type: research
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Source: AJN - Category: Nursing Tags: Feature Articles Source Type: research
According to this study: Patient calls regarding chest pain were safely and effectively managed with physician- and nurse-directed tele-triage.A direct-to-physician protocol for acute chest pain calls may be more efficient.
Source: AJN - Category: Nursing Tags: Journal Watch Source Type: research
ARTHRITIS is a lifelong condition that has no cure, but pain and symptoms can be improved by including certain foods and drinks in your diet. Luckily for lovers of this popular hot beverage, it contains properties which could help to improve the painful joint condition.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
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