II. Definitions

  1. Arthritis
    1. Joint inflammation
  2. Arthralgia
    1. Joint Pain without inflammation

III. History: General

  1. See Monoarticular Arthritis
  2. See Polyarticular Arthritis
  3. Duration
    1. Acute
    2. Chronic (>2 weeks of symptoms)
  4. Number of joints involved
    1. Monoarticular Arthritis
    2. Pauciarticular (Oligoarticular, 2-4 joints involved)
    3. Polyarticular Arthritis
    4. Migratory Arthritis
  5. Symmetric or Asymmetric (Polyarticular)
    1. Symmetric Polyarticular Arthritis
    2. Asymmetric Polyarticular Arthritis
  6. Course
    1. Intermittent
    2. Constant
  7. Distribution
    1. Spine and sacroiliac joints
    2. Medium and large joints (Shoulder, elbows, hips, knees)
    3. Small joints (wrists, fingers, toes)
  8. Joint inflammatory findings (inflammatory Arthritis)
    1. Joint Swelling
    2. Joint erythema
    3. Prolonged morning Joint Stiffness (>1 hour)
    4. Symmetric Polyarthritis

IV. History: Exposures and past medical history

  1. Triggers
    1. Joint Trauma (e.g. Traumatic Arthrotomy)
    2. Overuse
  2. Underlying conditions
    1. Prior affected joint surgery or procedures
  3. Infectious Disease
    1. Hepatitis C
    2. Human Immunodeficiency Virus (HIV)
    3. Lyme Disease
    4. Parvovirus
    5. Sexually Transmitted Infection (e.g. Gonorrhea, Syphilis)
  4. Drug Induced lupus examples
    1. Hydralazine (most common cause)
    2. Procainamide
    3. Isoniazid
    4. Minocycline
    5. Terbinafine
    6. Phenytoin
    7. Ethosuximide
    8. D-Penicillamine
    9. Proton Pump Inhibitors

V. History: Red Flags

VII. Exam: Distinguish pain source

  1. Articular (e.g. Arthritis, synovitis, joint contractures)
    1. Painful and reduced active AND passive range of motion
    2. Inflammatory Arthritis (red, warm, swollen, tender joints)
    3. Noninflammatory Arthritis
  2. Nonarticular or Periarticular (e.g. Muscles and tendons, ligaments, bursa)
    1. Normal passive range of motion
    2. Painful and reduced active range of motion and weak resisted range of motion
    3. Evaluate overlying skin and bursa

VIII. Labs: First Line

  1. Complete Blood Count (CBC)
  2. Synovial Fluid Exam (Joint Aspiration)
    1. Single most important test
    2. Diagnoses Septic Arthritis as well as crystal Arthropathy (gout, Pseudogout)
  3. C-Reactive Protein
    1. More reliable acute phase reactant than ESR
  4. Erythrocyte Sedimentation Rate (ESR)
  5. Antinuclear Antibody (ANA)
    1. Positive with many Rheumatologic Conditions
    2. Higher Specificity for SLE with High ANA titer, positive Anti-dsDNA and Anti-Sm
  6. Anti-Citrullinated Peptide Antibody
    1. Most specific for Rheumatoid Arthritis (especially erosive disease)
  7. Rheumatoid Factor (RF)
    1. Nonspecific (positive for Hepatitis C, Tuberculosis, SBE, SLE, Vasvculitis)
  8. Serum Uric Acid
    1. Low Test Sensitivity and Test Specificity for gout
    2. Serum Uric Acid is often low in acute exacerbations, and high in unaffected patients

IX. Labs: Second-Line (consider)

  1. Additional Infectious Arthropathy labs
    1. Lyme Titer
    2. Parvovirus IgM
    3. Hepatitis B Serology (HBsAg, HBeAg)
    4. Hepatitis C Serology
    5. Human Immunodeficiency Virus (HIV)
  2. Synovial biopsy indications (unclear cases)
    1. Sarcoidosis
    2. Tuberculosis
    3. Hemochromatosis
    4. Whipple Disease
    5. Rheumatoid Arthritis
  3. Skin or tissue biopsy indications
    1. Temporal Arteritis
    2. Discoid Lupus
    3. Vasculitis
    4. Glomerulonephritis
    5. Pulmonary Vasculitis

X. Evaluation

  1. Single joint involved
    1. See Monoarthritis for evaluation
  2. Synovitis with multiple joints involved
    1. See Polyarthritis for causes
    2. Symptoms >6 weeks suggests systemic Rheumatologic Condition
      1. Obtain first line labs above
      2. Consider second line labs as indicated
    3. Symptoms <6 weeks suggests Viral Arthritis (or early Rheumatologic Disease)
      1. Start with Complete Blood Count and Liver Function Tests
      2. Consider Viral Hepatitis Serology
      3. Consider Parvovirus B19 testing
      4. Consider Lyme Disease in endemic regions
      5. Consider first line labs above if persistent or severe symptoms
  3. No synovitis with multiple regions involved
    1. Consider Fibromyalgia if pain is localized to Tender Points
    2. Consider Non-Rheumatologic Differential Diagnosis (see Polyarthritis)
    3. Consider XRay of involved regions
    4. Labs to consider
      1. Serum Calcium
      2. Liver Function Tests
      3. Viral Hepatitis Serology
      4. Thyroid Stimulating Hormone

XI. Imaging

  1. See XRay Changes in Rheumatic Conditions
  2. XRay
    1. Acute Monoarthritis
      1. XRay affected joint
      2. Initial XRay most often normal
    2. Polyarthritis
      1. XRay symptomatic joints or those most consistent with suspected condition
  3. CT or MRI of affected joint
    1. Not a first line study
    2. Use only for specific indications
  4. Joint Ultrasound
    1. May demonstrate joint erosions (e.g. Rheumatoid Arthritis)

XII. References

  1. Pujalte (2015) Am Fam Physician 92(1):35-41 [PubMed]
  2. Shmerling in Helfgott (2021) Evaluation of the adult with Polyarticular pain, UpToDate, accessed 5/11/2022

Images: Related links to external sites (from Bing)

Related Studies

Ontology: Arthralgia (C0003862)

Definition (ICF) Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in one or more joints, including small and big joints.
Definition (ICF-CY) Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in one or more joints, including small and big joints.
Definition (NCI_FDA) Pain in a joint.
Definition (NCI_CTCAE) A disorder characterized by a sensation of marked discomfort in a joint.
Definition (NCI) Pain in a joint.
Definition (NCI_NCI-GLOSS) Joint pain.
Definition (MSH) Pain in the joint.
Concepts Sign or Symptom (T184)
MSH D018771
ICD9 719.40, 719.4
ICD10 M25.5 , M25.59
SnomedCT 156592007, 156602008, 202499005, 202467004, 268065004, 57676002
LNC MTHU013526, MTHU020863
English Pain in joint, ARTHRITIC-LIKE PAIN, JOINT ACHE, Pain in joint, site unspecified, Ache in joint, Arthralgia NOS, Joint Pain, Joint Pains, Pain, Joint, Pains, Joint, Arthrodynia, Arthralgias, Joint pains, Arthralgia, diffuse joint pains, diffuse arthralgia, diffuse joint pains (symptom), arthralgias, Aching joints, Joint ache, Arthritic-like pain, Discomfort in joints, Pain in joints, Pain joint, Painful joints, Joint pain-unspec, Arthralgia [Disease/Finding], Pain in a joint, site unspecified, joints pain, painful joint, articular pain, joint ache, Pain;joint(s), aching joint, painful joints, joint pain, aching joints, arthralgia (diagnosis), Arthralgia NOS (finding), Joint: [pain - arthralgia] or [ache] (disorder), Pain in joint - arthralgia, Joint: [pain - arthralgia] or [ache], PAIN, JOINT, arthralgia, ARTHRALGIA, JOINT PAIN, Joint pain, Painful joint, Articular pain, Joint pain (finding)
French ARTHRALGIE, Gêne articulaire, Articulations douloureuses, Articulation douloureuse, Articulations endolories, Douleur articulaire, site non précisé, Douleur de type arthritique, Douleur dans une articulation, DOULEUR ARTICULAIRE, DOULEUR D'ALLURE ARTHRITIQUE, Arthralgie, Douleur articulaire
German ARTHRALGIE, Schmerz Gelenk, schmerzhafte Gelenke, Schmerz im Gelenk, schmerzende Gelenke, Beschwerden der Gelenke, Schmerz im Gelenk, Stelle unspezifisch, arthritisartige Schmerzen, ARTHRITISARTIGE SCHMERZEN, GELENK SCHMERZHAFT, GELENKSCHMERZ, Arthralgie, Gelenkschmerz
Portuguese ARTRALGIA, Dor articular, Desconforto nas articulações, Ariculações dolorosas, Dor tipo artrítico, Dor articular de localização NE, Moinha articular, DOR ARTICULAR, DOR DE TIPO ARTRITICO, HIPERSENSIBILIDADE ARTICULAR, Artralgia, Dor Articular
Spanish ARTRALGIA, Dolor articular, localización no especificada, Dolor articular, Malestar en articulaciones, Articulaciones dolorosas, Dolor tipo artrítico, Dolor en articulaciones, Dolor en articulación, DOLOR ARTICULAR, DOLOR TIPO ARTRITICO, MALESTAR ARTICULAR, artralgia, SAI (hallazgo), artralgia, SAI, Arthralgia NOS, articulación dolorosa, artralgia, dolor articular (hallazgo), dolor articular, Artralgia, Dolor Articular
Dutch gewrichtspijn, plaats niet-gespecificeerd, pijnlijke gewrichten, pijnlijk gewricht, pijn gewricht, pijn in gewricht, artritisachtige pijn, pijnlijkheid van gewrichten, gewrichtspijn, artralgie, Artralgie, Gewrichtspijn
Italian Dolore simil-artritico, Dolore articolare, Articolazioni doloranti, Fastidio articolare, Dolore articolare, sede non specificata, Dolore alle articolazioni, Artralgia
Japanese 関節炎様疼痛, 部位不明の関節痛, 有痛関節, 関節部不快感, カンセツツウ, カンセツエンヨウトウツウ, カンセツブフカイカン, ブイフメイノカンセツツウ, ユウツウカンセツ, 関節痛, 多関節痛
Swedish Ledvärk
Czech artralgie, klouby - bolesti, Pobolívání kloubu, Bolest kloubu, Bolestivé klouby, Bolavé klouby, Bolest napodobující artritickou, Diskomfort v kloubech, Kloubní bolest, blíže neurčené lokalizace, Artralgie, Bolest v kloubu, bolest kloubů
Finnish Nivelkipu
Korean 관절통(증)
Polish Ból stawu
Hungarian Fájó ízületek, Fájdalom az ízületben, Ízületifájdalom, hely nem meghatározott, Arthritis-szerű fájdalom, Panasz az ízületekben, Ízületi fájás, Ízületi fájdalom, Fájdalmas ízületek, Arthralgia
Norwegian Artralgi, Leddsmerter

Ontology: Arthritis (C0003864)

Definition (MEDLINEPLUS)

If you feel pain and stiffness in your body or have trouble moving around, you might have arthritis. Most kinds of arthritis cause pain and swelling in your joints. Joints are places where two bones meet, such as your elbow or knee. Over time, a swollen joint can become severely damaged. Some kinds of arthritis can also cause problems in your organs, such as your eyes or skin.

Types of arthritis include

  • Osteoarthritis is the most common type of arthritis. It's often related to aging or to an injury.
  • Autoimmune arthritis happens when your body's immune system attacks healthy cells in your body by mistake. Rheumatoid arthritis is the most common form of this kind of arthritis. Juvenile rheumatoid arthritis is a form of the disease that happens in children.
  • Infectious arthritis is an infection that has spread from another part of the body to the joint.
  • Psoriatic arthritis affects people with psoriasis.
  • Gout is a painful type of arthritis that happens when too much uric acid builds up in the body. It often starts in the big toe.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

Definition (NCI) An inflammatory process affecting a joint. Causes include infection, autoimmune processes, degenerative processes, and trauma. Signs and symptoms may include swelling around the affected joint and pain.
Definition (NCI_NCI-GLOSS) A disease that causes inflammation and pain in the joints.
Definition (NCI_CTCAE) A disorder characterized by inflammation involving a joint.
Definition (CSP) inflammation of the joints; tends to be chronic.
Concepts Disease or Syndrome (T047)
MSH D001168
ICD10 M13.9 , M19.90, M13.99
SnomedCT 372091005, 363178003, 202059001, 3723001
LNC LP74502-3, LP28762-0, MTHU020793, LA16981-5
English Arthritides, Arthritis, JOINT INFLAMMATION, Arthritis, unspecified, arthritis (diagnosis), arthritis, Arthritis NOS, Arthritis [Disease/Finding], Arthritis, unspecified, site unspecified, Arthritis;inflammatory, arthritides, joint inflammation, arthritide, Inflammatory disorder of joint (disorder), Arthritis (finding), Inflammatory disorder of joint, Joint inflamed, ARTHRITIS, Inflammatory arthritis, Joint inflammation, Arthritis (disorder), Arthritis, NOS, Inflammation of joint NOS, inflammatory arthritis
French ARTHRITE, Arthrite SAI, INFLAMMATION ARTICULAIRE, Arthrite, Arthrosynovite
Spanish ARTRITIS, Artritis NEOM, INFLAMACION ARTICULAR, trastorno inflamatorio articular, artritis (hallazgo), trastorno inflamatorio de articulación, trastorno inflamatorio de articulación (trastorno), artritis (trastorno), artritis, Artritis
German ARTHRITIS, Arthritis NNB, Arthritis, nicht naeher bezeichnet, GELENKENTZUENDUNG, Arthritis, Gelenkentzündung
Dutch artritis NAO, Artritis, niet gespecificeerd, artritis, Arthritis, Artritis, Polyarthritis
Italian Artrite NAS, Artrite
Japanese 関節炎, 関節炎NOS, カンセツエン, カンセツエンNOS
Swedish Ledinflammation
Czech artritida, kloub - zánět, arthritis, Artritida NOS, Artritida, zánět kloubu
Finnish Niveltulehdus
Korean 상세불명의 관절염
Polish Zapalenie stawów
Hungarian Arthritis k.m.n., Arthritis
Norwegian Leddbetennelse, Artritits

Ontology: Arthropathy (C0022408)

Definition (MEDLINEPLUS)

A joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including

  • Arthritis - inflammation of a joint. It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.
  • Bursitis - inflammation of a fluid-filled sac that cushions the joint
  • Dislocations - injuries that force the ends of the bones out of position

Treatment of joint problems depends on the cause. If you have a sports injury, treatment often begins with the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain, reduce swelling, and speed healing. Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. For arthritis, injuries, or other diseases, you may need joint replacement surgery to remove the damaged joint and put in a new one.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

Definition (NCI) Any disorder of the joints.
Definition (CSP) condition in which there is a deviation from or interruption of the normal structure or function of the joints.
Concepts Disease or Syndrome (T047)
MSH D007592
ICD9 716.90, 719.90, 716.9, 719.9
ICD10 M15-M19.9 , M19.9, M25.9, M00-M25.9, M19.90, M12.9, M25.98, M25.99
SnomedCT 227588009, 8316001, 156514009, 267904003, 202073005, 202635007, 268051001, 202634006, 202061005, 203747002, 268056006, 202647001, 156508002, 268070006, 202645009, 80843008, 267888004, 202059001, 156616003, 399269003, 396275006
English Disease, Joint, Diseases, Joint, Joint Diseases, Arthropathy, unspecified, Unspecified disorder of joint, ARTHROSIS, ARTHROPATHY, JOINT DYSFUNCTION, Joint Disease, joint disorder, Arthropathy, unspecified, site unspecified, Unspecified disorder of joint, site unspecified, [X]Arthrosis, Arthropathies NOS, Arthropathy NOS, Arthropathy NOS, of unspecified site, Arthropathy NOS-site unspecif., Arthrosis, unspecified, Joint disord.NOS-site unspecif, Joint disorder NOS, of unspecified site, Joint disorder, unspecified, Joint disorders NOS, JOINT DIS, arthropathic, Arthropathy, arthropathy, arthropathy (diagnosis), Arthropathies, Arthropathy (NOS), Unspecified arthropathy, Arthrosis NOS, Disorder joint, Joint disorder NOS, Joint dysfunction, Arthropathy NOS-unspec, Joint dis NOS-unspec jt, Joint Diseases [Disease/Finding], Unspecified joint disorder, other site, Unspecified joint disorder, site unspecified, Unspecified joint disorder, Dysfunction;joint, arthropathy nos, articular disease, diseases of joints, joint disorders, joint diseases, arthropathies, joint disease, diseases of the joints, Joint disorders, joint disorder (diagnosis), Joint Disorders, Osteoarthrosis (disorder), Arthropathy NOS (disorder), Arthropathy NOS, of unspecified site (disorder), Joint disorders NOS (disorder), Joint disorder NOS, of unspecified site (disorder), Arthropathies NOS (disorder), [X]Arthrosis (disorder), Joints--Diseases, DISORDER, JOINT, JOINT DISORDER, Joint disease, Osteoarthrosis, Arthrosis, Joint disorder, Disorder of joint, Arthropathy (disorder), arthrosis, disease (or disorder); joint, joint; disorder, joint; osteoarthrosis, osteoarthrosis; joint, Arthropathy, NOS, Arthrosis, NOS, Disorder of joint, NOS, Joint disease, NOS, Osteoarthrosis, NOS, Joint Disorder, joint dysfunction
French ARTHROSE, Arthrose SAI, Trouble articulaire non précisé, site non précisé, Arthropathie non précisée, Arthrose, Trouble articulaire, Arthropathie SAI, Atteintes articulaires diverses SAI, Dysfonction articulaire, Trouble articulaire non précisé, Arthropathie non précisée, site non précisé, ARTHROPATHIE, DYSFONCTIONNEMENT ARTICULAIRE, Affections articulaires, Arthropathie, Troubles des articulations, Arthropathies, Maladies articulaires, Maladies de l'articulation, Maladies des articulations
Italian Artropatia, Patologie articolari, Patologia dell'articolazione, Patologia articolare, Patologia articolare NAS, Artropatia (NAS), Artropatia non specificata, Artrosi, Artropatia non specificata, sede non specificata, Disturbi articolari non specificati, Disturbi articolari non specificati, sede non specificata, Artropatia NAS, Artrosi NAS, Disfunzione articolare, Malattie articolari
Dutch artrose, gewrichtsaandoening, gewrichtsdisfunctie, niet-gespecificeerde gewrichtsaandoening, gewrichtsaandoening NAO, artrose NAO, niet-gespecificeerde gewrichtsaandoening, plaats niet-gespecificeerd, artropathie NAO, niet-gespecificeerde artropathie, artropathie (NAO), niet-gespecificeerde artropathie, plaats niet-gespecificeerd, aandoening gewricht, aandoening; gewricht, gewricht; aandoening, gewricht; osteoartrose, osteoartrose; gewricht, Artrose, niet gespecificeerd, Gewrichtsaandoening, niet gespecificeerd, artropathie, gewrichtsaandoeningen, Gewrichtsziekte, Gewrichtsziekten, Ziekte, gewrichts-, Ziekten, gewrichts-
German Arthropathie (NNB), Arthropathie, unspezifisch, Erkrankung Gelenk, unspezifische Arthropathie, unspezifische Gelenkerkrankung, Arthrosis NNB, Arthropathie NNB, Gelenkerkrankung, Gelenkaffektion NNB, Gelenkfunktionsstoerung, unspezifische Gelenkerkrankung, Stelle unspezifisch, Arthropathie, unspezifisch, Stelle unspezifisch, Arthrose, ARTHROPATHIE, ARTHROSE, Arthrose, nicht naeher bezeichnet, GELENKFEHLFUNKTION, Gelenkkrankheit, nicht naeher bezeichnet, Arthropathie, Gelenkerkrankungen, Gelenkkrankheiten
Portuguese Artrose NE, Disfunção articular, Afecção articular NE de localização NE, Artropatia NE, Afecção articular NE, Artropatia NE de localização NE, Afecção articular, Artrose, ARTROPATIA, ARTROSE, DISFUNCAO ARTICULAR, Afecções das articulações, Artropatia, Artropatias
Spanish Artropatía NEOM, Disfunción articular, Artropatía no especificada, Trastorno articular no especificado, localización no especificada, Artropatía (NEOM), Artropatía no especificada, localización no especificada, Trastorno de articulación, Trastorno articular NEOM, Trastorno articular no especificado, Artrosis NEOM, Artrosis, Trastorno articular, ARTICULACION, DISFUNCION, ARTROPATIA, ARTROSIS, artropatía, SAI, de sitio no especificado (trastorno), artropatía, SAI (trastorno), trastornos articulares, SAI, trastornos articulares, SAI (trastorno), enfermedad articular, artrosis, SAI, de sitio no especificado (trastorno), Joint disorders NOS, artropatía, SAI, artropatía, SAI, de sitio no especificado, trastorno articular, SAI, de sitio no especificado, trastorno articular, [X]artrosis, [X]artrosis (trastorno), artropatías, SAI (trastorno), Arthropathy NOS, artropatías, SAI, artrosis, SAI, de sitio no especificado, trastorno articular, SAI, de sitio no especificado (trastorno), artrosis, SAI (trastorno), artrosis, SAI, artropatía (trastorno), artropatía, Trastornos articulares, Artropatía, Artropatías
Japanese 関節障害(NOS), 関節症, 関節障害NOS, 詳細不明の関節障害、部位不明, 詳細不明の関節障害, 部位および詳細不明の関節障害, 関節症NOS, 関節機能不全, 関節障害, カンセツショウガイ, カンセツショウ, カンセツショウガイNOS, ショウサイフメイノカンセツショウガイブイフメイ, カンセツショウNOS, ブイオヨビショウサイフメイノカンセツショウガイ, カンセツキノウフゼン, ショウサイフメイノカンセツショウガイ
Swedish Ledsjukdomar
Finnish Nivelsairaudet
Czech Artropatie NOS, Artróza, Artropatie, Artróza NOS, Artropatie, blíže neurčená, Porucha kloubu, Porucha kloubu, blíže neurčená, Kloubní poruchy, Artropatie blíže neurčená, blíže neurčené lokalizace, Kloubní porucha, Dysfunkce kloubu, Porucha kloubu, blíže neurčená, blíže neurčené lokalizace, Kloubní porucha NOS, nemoci kloubů, klouby - nemoci
Korean 상세불명의 관절 장애, 상세불명의 관절증
Polish Choroby stawów
Hungarian Arthropathia (k.m.n.), Ízületi betegség, Arthropathia, Ízület nem meghatározott betegsége, hely nem meghatározott, Arthropathia, nem meghatározott, Ízületi betegség k.m.n., Ízület működési zavara, Nem meghatározott arthropathia, Arthropathia k.m.n., Ízület nem meghatározott betegsége, Arthropathia, nem meghatározott, hely nem meghatározott, Ízületi betegségek, Arthrosis, Arthrosis, k.m.n.
Norwegian Leddsykdommer, Sykdommer i leddene

Ontology: Joint swelling (C0152031)

Concepts Sign or Symptom (T184)
SnomedCT 161910006, 298146002, 139165002, 271771009
Italian Tumefazione articolare, Articolazione tumefatta, Articolazioni tumefatte
English Joint Swelling, Swollen joints, joints swelling, joint swelling, joints swollen, Swollen;joint(s), swollen joint, swelling joint, swell joint, Finding of joint swelling, Finding of joint swelling (finding), SWELLING, JOINT, JOINT SWELLING, Joint swelling, Swollen joint, Observation of joint swelling, Joint swelling (finding), Swelling of joint with or without pain, swollen joints
Dutch gezwollen gewricht, gezwollen gewrichten, gewrichtszwelling
French Articulations gonflées, Gonflement de l'articulation, Tuméfaction articulaire
German geschwollene Gelenke, geschwollenes Gelenk, Gelenkschwellung
Portuguese Articulações tumefactas, Articulação tumefacta, Tumefacção articular
Spanish Articulación hinchada, Articulaciones hinchadas, tumefacción articular-hallazgo (hallazgo), tumefacción articular-hallazgo, tumefacción de la articulación-hallazgo, tumefacción articular (hallazgo), tumefacción articular, Hinchazón articular
Japanese 関節腫脹, カンセツシュチョウ
Czech Oteklé klouby, Oteklý kloub, Otok kloubu
Hungarian Ízületi duzzanat, Duzzadt ízület, Duzzadt ízületek

Ontology: Joint stiffness (C0162298)

Definition (NCI) A sensation of discomfort and tightness while moving a joint. Typically there is decreased joint range of motion. Causes include arthritis, joint overuse, joint injury, and the aging process.
Definition (CSP) rigidity, resistance or inflexibility of the joints.
Concepts Sign or Symptom (T184)
SnomedCT 156603003, 268069005, 156613006, 268067007, 84445001
English JOINT STIFFNESS, Joint stiffness NOS, Stiffness in joint, Stiffness joints, Joint Stiffness, joint stiffness, stiffness joint, joints stiffness, Stiffness;joint(s), joints stiff, stiff joint, stiffness joints, Stiff joints, stiffness in joint, stiffness of joint (diagnosis), stiffness of joint, Joint stiffness NOS (finding), Joint stiffness (& [NOS]) (finding), Joint stiffness (& [NOS]), Joint tightness, Joint stiffness, Stiff joint, Joint stiffness (finding)
Italian Rigidità articolare, Rigidità di articolazione, Rigidità delle articolazioni
Dutch stijf gewricht, stijve gewrichten, beklemd gevoel in gewricht, gewrichtsstijfheid
French Articulations serrées, Articulation rigide, Rigidité des articulations, RAIDEUR ARTICULAIRE, Raideur articulaire
German Steife der Gelenke, steifes Gelenk, Spannungsgefuehl in einem Gelenk, GELENKSTEIFHEIT, Gelenksteife
Portuguese Rigidez das articulações, Aperto de articulação, Articulação rígida, RIGIDEZ ARTICULAR, Rigidez articular
Spanish Tensión articular, Articulación rígida, Rigidez de articulaciones, RIGIDEZ ARTICULAR, rigidez articular, SAI (hallazgo), Joint stiffness NOS, rigidez articular, SAI, articulación rígida, rigidez articular (hallazgo), rigidez articular, Rigidez articular
Japanese 関節硬直, 関節緊張, カンセツコウチョク, カンセツキンチョウ
Czech Napětí kloubu, Ztuhlý kloub, Ztuhlost kloubů, Ztuhlost kloubu
Hungarian Ízületi merevség, Ízületi feszesség, Merev ízület, Ízületek merevsége

Ontology: Inflamed joint (C0574941)

Concepts Finding (T033)
SnomedCT 298160000
English Joint inflammation, inflamed joint, joints inflammation, Inflammation;joint(s), inflamed joints, joint inflammation, inflammation joints, Inflamed joint, Inflamed joint (finding), inflammation; joint, joint; inflammation, inflammation of the joint(s)
Dutch gewrichtsontsteking, gewricht; ontsteking, ontsteking; gewricht
French Inflammation articulaire
German Gelenksentzuendung
Italian Infiammazione articolare
Portuguese Inflamação articular
Spanish Inflamación articular, articulación inflamada (hallazgo), articulación inflamada
Japanese 関節の炎症, カンセツノエンショウ
Czech Kloubní zánět
Hungarian Ízületi gyulladás