Toe pain and swelling

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Toe pain and swelling
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Toe pain and swelling

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Overview

Causes can be as simple as trauma or infection. They can also be rheumatoid arthritis, endocarditis or athlerosclerotic vascular disease. The most common cause/complaint is Gout.

Gout can be so excruciating at times that even the weight of a bed sheet is unbearable.

Differential Diagnosis

In alphabetical order. [1] [1]

Laboratory Findings

Imaging Findings

  • Radiographs
  • Fractures
  • Osteomyelitis signs
  • Psoriatic arthritis

Other Diagnostic Studies

  • Synovial fluid analysis
  • Look for an infection, crystals, inflammation
  • Gram stain, polarized light microscopy
  • Cell counts should result in a WBC count less than 50,000/ml if inflamed
  • Cell counts should result in a WBC count greater than 50,000/ml in infectious arthritis

Treatment

Acute Pharmacotherapies

Gout

  • NSAID's
  • Colchicine

Chronic Pharmacotherapies

Gout

Ingrown toenails

  • Warm soaks
  • Toe nail removal

Pseudogout

Reiter's Syndrome

Septic arthritis

References


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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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