When a patient presents to his or her general practitioner (GP) with a knee injury, the doctor relies on the patient's history (what happened) and a physical exam (clinical tests) to figure out what's wrong. Is there swelling in the joint? Is there damage inside the joint? Can a physician even tell these things with a history and physical exam (H&PE)? When are additional tests such as X-rays or MRIs needed? Researchers from the Netherlands take on these questions in a study of 134 patients with a traumatic knee injury. Most (but not all) injuries were sports-related. Each patient was questioned about their symptoms and then examined by a physical therapist using a standard series of tests for the knee. Tests included range-of-motion, palpation, stability, and meniscal (knee cartilage) tests. Three special tests were done to look for effusion (swelling). The first was palpation of the popliteal fossa (back of the knee). The second was a palpatory test called the minor effusion test ....
Definition Swollen gums are abnormally enlarged, bulging, or protruding. Alternative Names Swollen gums; Gingival swelling Considerations Gum swelling is quite common and may involve one or many of the triangular-shaped bits of gum between nearby teeth. These sections are called papillae. Occasionally, the gums swell significantly, blocking the teeth completely. Common Causes Gingivitis Infection by a virus or fungus Malnutrition Poorly fitting dentures Pregnancy Sensitivity to toothpaste or mouthwash Scurvy Side effect of a drug such as Dilantin or phenobarbital
My name is Cathee and I am currently 35 yrs old. I was diagnosed
with Rheumatoid Arthritis when I was 27. My introduction to RA was
rather quick. In fact, I had actually never heard of RA when I went
to see my doctor about a swollen knuckle. My finger had been
swollen for about 2 months and as I was reading through a magazine
I found an article about lyme disease. Since I spent a lot of time
hiking in the woods with my dog, I began to think I might have
contracted lyme disease from a tick. I went to my family physician
and luckily she had an instinct about what was going on with me and
sent me to see a Rheumatologist. The Rheumatologist immediately
ordered blood work and I was officially diagnosed with RA in March
of 1997. I didnt have any other symptoms at the time except
for the one swollen joint until August 1997. Literally overnight, I
became almost bed ridden. It was if I went to sleep as one person
and woke up another.
Since that fateful night, I have battled this crippli...
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