• Atencion primaria · Jan 2014

    [Diagnosis. History and physical examination].

    • Álvaro Pérez Martín.
    • Especialista en Medicina Familiar y Comunitaria, Miembro del Grupo Nacional de Enfermedades Reumatológicas de la Sociedad Española de Medicina Familiar y Comunitaria, CS Centro, Santander, España. Electronic address: alvaroperezma@yahoo.es.
    • Aten Primaria. 2014 Jan 1; 46 Suppl 1: 18-20.

    AbstractFamily physicians play a key role in the diagnosis and management of patients with osteoarthritis. Diagnosis is mainly clinical and radiological. A complete history should be taken with meticulous physical examination of the joints. The history-taking should aim to detect risk factors and compatible clinical symptoms. Pain characteristics should be identified, distinguishing between mechanical and inflammatory pain, and an exhaustive examination of the joints should be performed, with evaluation of the presence of pain, deformity, mobility restrictions (both active and passive), crepitus, joint effusion, and inflammation. A differential diagnosis should be made with all diseases that affect the joints and/or produce joint stiffness. Copyright © 2014 Elsevier España, S.L. All rights reserved.

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