Knee Case Study Week 1: Difference between revisions

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== History of Presenting Condition ==
== History of Presenting Condition ==


60 year old woman who was out on an evening with her friends when she fell off her heels (varus) approximately 6/52 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.
60 year old woman who was out on an evening with her friends when she fell off her heels (varus) approximately 6/52 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.  


== <br>Presenting Condition ==
== <br>Presenting Condition ==


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 worse. 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.  
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 worse. 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.  


== <br>Past Medical History&nbsp; ==
== <br>Past Medical History&nbsp; ==


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


== <br>Drug History&nbsp; ==
== <br>Drug History&nbsp; ==


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


== <span style="font-size: 13.28px;">Social History</span> ==
== <br>Social History&nbsp;  ==


<span style="font-size: 13.28px;">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.</span>
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.

Revision as of 20:23, 24 October 2016

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 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
[edit | edit source]

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 worse. 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 
[edit | edit source]

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


Drug History 
[edit | edit source]

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


Social History 
[edit | edit source]

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.