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Knee Pain

Scroll to bottom for case answer and E-med-ucation 

History:

A 56-year-old female presents to the ED with 3 days of gradually worsening left knee pain and swelling.  She denies injury, fever or other complaints.

Exam:

Vital signs were normal.  Physical exam was normal except for a small left knee effusion and mildly limited ROM

Initial Concern(s):

  • Meniscal tear
  • Joint mouse
  • Infection

Testing:

  • EKG: none
  • Labs: none ordered
  • Imaging: See Below

Questions:

  1. What does the case image show?  
  2. What should you do next?
  3. Want a tutorial on this subject?

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ANSWERS

  1. What does the case image show?  A small bony object in the center of the joint
  2. What should you do next? Arrange orthopedic follow-up
  3. Want a tutorial on this subject? Check highlighted area on page shot below

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E-meducation “page-shot” on JOINT MICE from the Emergency Medicine 1-Minute Consult Pocketbook

CASE CONCLUSION: This patient was referred to orthopedics for surgery

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