Courtney Martin, DO
37 year-old male presents to the ED with four days of fevers, chills, abdominal pain, myalgias. Denies nausea, vomiting, and diarrhea. No known sick contacts. Works as a landscaper. Sexually active with one partner who is asymptomatic. Vitals on arrival: Tempt 100.9F, RR 16, BPM 115, BP 120/74, Sp02 100% RA.
There is a broad differential for patient’s presenting with joint pain. Many different disease processes lead to these symptoms. In this review we will break up the various etiologies of arthralgias by the number of joints they impact.
A 48-year-old female presents to the ED with generalized fatigue. Patient has a past medical history of HTN, HLD, Crohn’s Disease. She admits to some nausea, vomiting, and dizziness. Vital signs: T 98.3F, HR 73, BP 70/50, RR 18, Pulse Ox 100% on room air. Blood glucose is 35. Exam is unremarkable.
62 year old female PMHx HTN and DM presents to the ED with two weeks of worsening left leg swelling. Pain is 8/10 and described as “achy”. Worse with ambulation. Tried tylenol with no relief. Vital signs are within normal limits.