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Monoarthritis in the emergency department

Revuelta Evrard E

Servicio de Reumatología. Hospital General. Ciudad Real, Spain.

Monoarthritis, defined as the inflammation of a joint, may be either acute or chronic
and arise from a variety of causes. Septic arthritis is responsible for the highest rates of
morbidity and mortality. The most common cause is the presence of microcrystals. A
clinical history and careful physical examination are of great help in establishing the
cause. Bilateral radiographs of the joints are essential. Unless contraindicated, arthrocentesis
should be undertaken to establish the etiologic diagnosis.

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