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Septic arthritis of the wrist and the hand: – An Emergency department case study
Institution:1. Rheumatology Department, Charles Nicolle Hospital, El Manar Tunis University, Tunisia;2. Radiology Department, La Marsa Hospital, El Manar Tunis University, Tunisia;1. Department of Health Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK;2. Leicestershire and Rutland Older Persons Patient and Public Involvement Forum, Department of Health Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK;3. The Healthcare Improvement Studies Institute (THIS Institute), Department of Public Health and Primary Care, University of Cambridge, Clifford Allbutt Building, Cambridge Biomedical Campus, Cambridge CB2 0AH, UK;4. School of Health and Related Research, 3019, Regent Court (ScHARR), 30 Regent Street, Sheffield S1 4DA, UK;5. MRC Unit for Lifelong Health and Ageing, University College London, 1-19 Torrington Place, London WC1E 7HB, UK;1. National College of Business Administration & Economics Lahore, Pakistan;2. Department of Management, HEC Montréal, 3000 Côte-Sainte-Catherine, Montréal, Québec. H3T 2A7, Canada;3. School of Business Administration, National College of Business Administration & Economics, 40-E1, Gulberg III, Lahore 54660, Pakistan;1. Faculty of Health Sciences, Department of Nursing, Sivas Cumhuriyet University, Sivas 58140, Turkey;2. Vocational School of Health Care Services, Sivas Cumhuriyet University, Sivas 58140, Turkey;1. Paramedics Program, Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan;2. Department of Paramedicine, Monash University, Melbourne, Victoria, Australia
Abstract:Joint pain is a common presentation in the Emergency department. There are countless potential causes for pain and swelling in a joint. Septic arthritis is a true joint emergency as it can lead to rapid, irreversible destruction of the joint. If not diagnosed early this infection can lead to considerable functional deficit. Our case is unique in that our patient presented to the Emergency department requesting referral to the fracture clinic for continued management of a suspected scaphoid bone fracture but was found to have Neisseria gonorrhoea causing septic arthritis of the joint. This case highlights the importance of accurate history taking, clinical examination and assessment of the patients presenting with joint pain.
Keywords:Septic arthritis  Wrist  Joint pain  Nurse practitioner  Emergency department
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