Medical history (history of illness) represents an important component in the diagnosis of monarthropathy with pain.
Family history
- Is there a frequent occurrence of gout in your family?
- Are there any hereditary diseases in your family?
Social anamnesis
Current medical history/systemic medical history (somatic and psychological complaints).
- Do you suffer from joint pain? Which joint is affected?
- Is the affected joint overheated, swollen and limited in function?
- When did the pain occur?
- How was the pain development?
- Rapid (hours to a few days)? [Gout?, joint infection.]
- Slow?
- Are the complaints first-time or recurrent?
- Do you have a fever? If so, for how long and what is the temperature?
- Have you noticed any joint deformities?
- Have you noticed bursitis (mostly at the elbow)?
- Do you have any other complaints?
- Intestinal infection?
- Joint locks?
- Were there any triggers for the pain?
- Physical exertion?
- Accident?
Vegetative anamnesis including nutritional anamnesis.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Do you eat a balanced diet?
- Were there any triggers for the pain?
- Do you consume a lot of foods high in purine (meat) and/or fructose?
- Do you drink alcohol? If so, what drink(s) and how many glasses per day?
Self history incl. medication history.
- Previous diseases (blood diseases (eg, hemophilia), fractures, bone diseases, sex diseases, kidney diseases, rheumatological diseases, tumor diseases).
- Operations (bone/joint; joint prostheses; joint punctures).
- Radiotherapy
- Allergies
- Environmental history