[43F] With severe right knee pain and swelling
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, here are some possible explanations for your knee pain:
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Gout or Pseudogout: These are types of arthritis caused by the accumulation of crystals in the joint, leading to sudden and severe pain, swelling, and inflammation. Gout is due to uric acid crystals, while pseudogout is due to calcium pyrophosphate crystals. Testing typically involves joint fluid analysis and blood tests.
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Rheumatoid Arthritis: Given your family history of autoimmune diseases, rheumatoid arthritis could be a possibility. It is an autoimmune condition that causes joint pain and swelling. Diagnosis often involves blood tests for specific antibodies and imaging studies.
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Infection (Septic Arthritis): Although you haven't mentioned fever or warmth, an infection in the joint can cause severe pain and swelling. This is a medical emergency and requires immediate attention. Diagnosis involves joint fluid analysis and blood tests.
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Meniscus Tear or Ligament Injury: Even without a specific injury, wear and tear or a sudden movement can cause a tear in the knee's cartilage or ligaments, leading to pain and swelling. An MRI is often used for diagnosis.
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Osteoarthritis: This is a degenerative joint disease that can cause pain and swelling, especially if you have a family history of joint problems. Diagnosis is typically through physical examination and imaging studies like X-rays.
What you can do
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Consult a Healthcare Provider: It's important to see a doctor for a formal diagnosis and appropriate treatment. They may recommend imaging tests or blood work to determine the cause of your symptoms.
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Rest and Elevate: Try to rest your knee and keep it elevated to reduce swelling. Avoid activities that worsen the pain.
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Ice and Compression: Applying ice packs and using a compression bandage can help manage swelling and pain.
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Over-the-Counter Pain Relief: Non-prescription pain relievers like ibuprofen or acetaminophen may help alleviate pain, but consult with a healthcare provider before taking any medication, especially given your low blood platelets.
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Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, and share detailed notes with your healthcare provider.
What you should look out for
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Seek Immediate Medical Attention: If you develop a fever, notice redness or warmth in the knee, or if the pain becomes unbearable, seek medical care promptly as these could be signs of an infection or other serious condition.
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Monitor for Changes: Keep an eye on any changes in your symptoms, such as increased swelling or new symptoms, and report these to your healthcare provider.
Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and personalized treatment plan.
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22 d ago