Week 8 dicussion on Knee Pain
Centered SOAP notes for a affected person with ankle ache
S
CC: Ankle Pain
HPI: This affected person is a 15-year-old male who presents with bilateral ankle ache with a clicking noise in a single or each knees generally. The affected person describes a catching sensation beneath the patella.
PMH: Twisted proper ankle in a fall in a soccer recreation 3days in the past.
FH: Mom is a faculty instructor, the daddy is a soccer coach recognized with kind 2 DM at
35 years of age. Wish to play soccer and a staunch fan of Redskins.
ROS:
Basic- Damaging for fever, chills, fatigue.
Cardiovascular- Damaging for orthopnea, S1S2 head, no murmurs, proper ankle
swearing.
Gastrointestinal- ABD tender non-tender, damaging for nausea, vomiting, and diarrhea.
Pulmonary- no respiration difficulties, damaging for coughing.
O
V/S: T-97.1, P-69, R-17, B/P- 124/78, O2 SAT- 97%, WT-124, HT-6ft
Basic: the affected person is calm and cooperative.
Cardiovascular: PMI at fifth intercostal area at mid-clavicular line. Proper knee minimally
swollen with ache rated at 6/10. Barely restricted mobility. Admits a cracking sound
throughout fall. No cynosis, full pulses.
Gastrointestinal: stomach tender, non-tender, B/sounds constructive in all quadrants.
Pulmonary: respiration even, no misery.
Diagnostic outcomes:
X-ray of the correct knee- damaging
MRI of proper tendons- Irritations of the patella
CT scan of the knee.
Differential analysis:
1. Rheumatoid arthritis( RA)-a power systemic autoimmune inflammatory illness characterised by aggressive symmetric irritation of a number of joints. Though this affected person has minimal swelling to the correct knee solely, it’s not power and doesn’t relate to extend Physique Mass Index in addition to within the case of RA, therefore it’s dominated out.
2. Osteoarthritis (OA)- degenerative joint illness outcomes from deterioration of the cartilage of bones inflicting irritation, swelling, ache in affected joints, and eventual stiffness and mobility limitation (Stark & Worth, 2019). Though there may be ache and swelling to the correct knee of this affected person, this isn’t attributable to outdated age, joint overuse, earlier joint damage, and so forth as in OA, therefore OA is dominated out.
three. Knee fracture: The fracture of the knee joint space is without doubt one of the extreme limb bone accidents.Vakhitov et al.(2018).
Knee sprain- refers to accidents, defects, or issues of muscle tissue of the physique attributable to damage, over-exercise, illness, toxin, endocrine, neurological and hereditary components . Widespread muscular issues are these ensuing from overexertion, train, athletics, accidents, trauma, and so forth which kind a basic instance of affected person beneath dialogue.
Patella tendonitis-Damage to the tendon connecting the kneecap(patella) and the Tibia
The diagnostic efficiency traits of MRI, CT, bone scintigraphy. Identifies true fractures amongst suspected scaphoid fractures. Calculated sensitivity and specificity with latent class Assessment are totally different close to conventional based mostly calculations of CT within the scaphoid planes(Buijze et al.2011).
Sprain causes minimal to average ache growing 1 to 2 days after the traum awhen the inflammatory course of start(Dains et al.2019).
References:
Stark, W. & Worth, V. (2019). Osteoarthritis Magill’s medical information (on-line version).Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=ers&AN=86194360&website=eds-live&scope=website.
Buijze, Geert A.; Mallee, Wouter H.; Beeres, Frank J. P.; Hanson, Timothy E.; Johnson, Wesley O.; Ring, David. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH. 469 (12) ,p3400-p3407.
(sixth ed.). St. Louis, MO: Elsevier Dains, J. E., Baumann, L. C., & Scheibel, P. (2019).Superior well being Assessment and medical analysis in major care,(sixth ed.).MO:Elsevier Mosby.
Vakhitov, I., Pankov, O., Vakhitov, Ok.,Nagmatullin,R.&Vakhitov,I.(2018).Our expertise of affected person therapy with knee fractures:A case report.Drug Intervention At this time.10,3188-3192.Retrieved from http://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=a9h&AN=133549289&website=edslive&scope=website
