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  • Title: Acute monoarticular arthritis. A diagnostic approach.
    Author: Freed JF, Nies KM, Boyer RS, Louie JS.
    Journal: JAMA; 1980 Jun 13; 243(22):2314-6. PubMed ID: 6154810.
    Abstract:
    A group of adult patients with acute nontraumatic monoarticular arthritis was studied. Using only the traditional clinical tools of history, physical examination, joint x-ray films, and synovial fluid culture, Gram's stain, and examination for crystals, 74% of the diagnoses made were achieved either immediately or within two to three days. Overall, 64% of the cases were diagnosed during follow-up. Other tests were not found to be helpful in the acute situation and should be utilized only if the tests already mentioned fail to yield a diagnosis. The prognosis of patients with acute monoarthritis that remains undiagnosed after thorough evaluation is generally good.
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