CASE 23 - Knee Pain

Question 1

Q1:

Answer 1

Function — I can’t move it. I use a cane to walk.

Question 2

Q2:

Answer 2

Hx of trauma.

Question 3

Q3:

Answer 3

Stiffness in the morning/duration. (+photosensitivity, rashes, oral ulcers)
+Raynaud.
+ ob/gyn. (Think APS)

Question 4

Q4:

Answer 4

Recent tick bite.

Question 5

PEx:

Answer 5

Mouth ==> for the ulcers.

MSK ==> Inspection + palpation + ROM.

Hair + skin ==> Inspection.

CV + chest ==> A.

Abdomen ==> A + P + P.

Question 6

Extremities — What to write:

Answer 6

Erythema, tenderness, pain, and restricted ROM on flexion and extension of left knee compared to right knee.

(+)Swelling at left knee.
Fingers and hands with stiffness bilaterally.
Shoulder, elbow, wrist, hip, and ankle joints WNL bilaterally.