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Knee Osteoarthritis follow-up

Age:  years old

Gender: 



HISTORY:

Returns for a   follow-up

Last visit was   ago

Progress since last visit: 



Updates on symptoms:





















Physical activity changes: , 

Medication tried: , , , , , , 

Injections: , , , 

Physical therapy: , 

Dietary changes: , 

Supportive devices used: 

X-ray: 





EXAM:

Knee: 

Inspection: 

Palpation:  on 

Range of motion: 

- Flexion: 

- Extension: 

Strength: , except  on  

Neurovascular: , distal pulses , cap refill  sec, sensation 

Special tests:

- Patellar tap: 

- Bulge test: 

- Lachman test: 

- Anterior drawer test: 

- Posterior drawer test: 

- Valgus stress test: 

- Varus stress test: 

- McMurray test: 

- Thessaly test: 

- Patellar apprehension test: 

- Pivot shift test: 

- Patellar grind test: 

- Apley test: 

Gait: , 





ASSESSMENT:

, 

DDx: osteoarthritis, post-traumatic osteoarthritis, rheumatoid arthritis, gout, pseudo-gout, septic arthritis, patellofemoral pain syndrome, bursitis, tendinitis, meniscal tear, ligament injury, bone contusion, IT band syndrome





PLAN:

Investigations:

- Knee X-ray

Treatments:

- 

- 

- Physical therapy

- Physiotherapy exercises

- Steroid injection

- Hyaluronic acid injection

- Knee brace

- Assistive devices: , 

- Weight loss counseling

Further care:

- Referral to orthopedic surgeon

- Follow-up in  months

- Return if pain worsens or new symptoms develop

HISTORY: EXAM: Knee: ASSESSMENT: PLAN:

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