Family Medicine

67-year-old man with left knee pain

Vandan Shah on Feb 2, 2014

Mr. Jones is a 67-year-old man who presents to your clinic for an annual exam. He has no changes in his overall health other than a new complaint of left sided knee pain. He says the pain is all around his knee and has become worse over the past few months. At this moment, he rates the pain at about a 6/10, although he notes it can be as high as a 9/10 when he is working in the yard. He also reports stiff joints in his knee in the morning that lasts about 30 minutes.

 

Mr. Jones has been diagnosed with GERD and type II diabetes. He currently takes metformin and Tylenol as needed for pain. He has no allergies to medication and lives with his wife in a small home.

  • Temp  36 C
  • HR  92
  • BP  115/82
  • RR  13

Physical Exam:

Left knee - No evidence of erythema, edema, or signs of trauma. No surrounding muscle atrophy. No tenderness at the patella, patellar tendon/quadriceps tendon, anteromedial/lateral joint line, and tibial tubercle. There is mild tenderness at the medial joint line. There is also mild crepitus and decreased range of motion on passive flexion.

Mr. Jones is a 67-year-old man who presents to your clinic for an annual exam. He has no changes in his overall health other than a new complaint of left sided knee pain. He says the pain is all around his knee and has become worse over the past few months. At this moment, he rates the pain at about a 6/10, although he notes it can be as high as a 9/10 when he is working in the yard. He also reports stiff joints in his knee in the morning that lasts about 30 minutes.

 

Mr. Jones has been diagnosed with GERD and type II diabetes. He currently takes metformin and Tylenol as needed for pain. He has no allergies to medication and lives with his wife in a small home.

  • Temp  36 C
  • HR  92
  • BP  115/82
  • RR  13

Physical Exam:

Left knee - No evidence of erythema, edema, or signs of trauma. No surrounding muscle atrophy. No tenderness at the patella, patellar tendon/quadriceps tendon, anteromedial/lateral joint line, and tibial tubercle. There is mild tenderness at the medial joint line. There is also mild crepitus and decreased range of motion on passive flexion.

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