Knee Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of knee pain
Onset was , started
Location is
Radiation to
Rated at / 10 ,
Described as
Pattern
Present on weight-bearing only
Worsening factors:
Alleviating factors: ,
Occupation:
Associated symptoms: *Try using right-click for negatives*
, up to °, over
Contributing factors:
no history of: , , , , , ,
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: knee osteoarthritis, patellofemoral pain syndrome, knee sprain, meniscal tear, ACL injury, ligament injury, osteoarthritis, IT band syndrome, patellar tendinitis, bursitis, gout, rheumatoid arthritis, septic arthritis, osteochondritis dissecans, tibial plateau fracture, baker's cyst, tumor
PLAN:
Investigations:
- Knee X-ray
- MRI of the knee
- Blood work: , , ,
Treatments:
-
-
-
- Physical therapy
- 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: Associated symptoms: EXAM: Knee: ASSESSMENT: PLAN: