A 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinner .On examination, his temperature is 98°F, his pulse is 90 beats/min, his respirations are 22 breaths/min, and his blood pressure is 129/88 mm Hg. Heart and lung examinations are unremarkable. The patient is reluctant to flex the left knee, wincing in pain at touch, and has passive range of motion. The knee is edematous, hot to touch, and has erythema of the overlying skin. No crepitation or deformity is apparent. No other joints are involved. Inguinal lymph nodes are not enlarged. Complete blood count (CBC) reveals a white blood cell count of 10,900 cells/mm3 and is otherwise normal.
Recent Posts
- You have been charged with developing a Quick Facts Information Sheet on the Risks of E-cigarettes for Kids, Teens, and Young Adults. You start with the
- Write a soap note on a pediatric patient from the perspective of a nurse practitioner Submission Instructions: Your SOAP note should be clear and co
- What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develo
- What are the eight stages of human development? Using Eriksons 8 stages of Psychosocial Development Please create a chart summary which includes the fol
- This discussion simulates a collaborative ideation process where you will analyze a common user challenge, generate creative solutions, and build on the