Knee Case Study Week 1

History of Presenting Condition[edit | edit source]

60 year old woman who was out on an evening with her friends when she fell off her heels (varus) approximately 6/52 (6 weeks) ago. She complained of mild swelling to the joint the morning after the injury. She does not feel her knee is improving and is now off work.

Presenting Condition
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Mild swelling to the medial and lateral aspects of the joint. Pain is on the medial joint line and the lateral aspect of the knee. She complains of a generalised ache which is worse towards the end of the day which she says is an 8/10 at worst. She is waking up in the night with the pain in her knee and and is sleeping with a pillow under her knee for comfort. She is struggling to walk for more than 30 minutes and up and down the stairs is also difficult. The joint is not locking / clicking or giving way.

Past Medical History 
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Nil significant, Hysterectomy 5 years ago and fractured right wrist after a fall.

Drug History 
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Co-codamol 30/500mg QDS, Ibuprofen 200mg QDS

Social History 
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Works full time in a supermarket on the clothes department. She is a keen walker of which she normally walks 10 miles with her dog on a weekend. She lives with her husband.