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Table 28.3

Urgent Investigation in Acute Arthritis

  • Joint aspiration (Chapter 124)
  • X-ray joint for baseline and to exclude osteomyelitis
  • Blood glucose
  • Creatinine and electrolytes
  • Liver function tests
  • Full blood count
  • Erythrocyte sedimentation rate and C-reactive protein
  • Viral serology if indicated
  • Blood culture (×2)
  • Urine stick test, microscopy and culture
  • Swab of urethra, cervix and anorectum if gonococcal infection is possible