Presenting with Acute Left Knee Pain
,Patient Biodata
• Name: Tod Gouseau
• Age: 57 years
• Date of Birth: [To be collected]
• Sex: Male
• Race/Ethnicity: [To be collected]
• Contact: WhatsApp +254701646894;
Email:
• Height: 5'10" (178 cm)
• Weight: 197 lb (89.5 kg)
• BMI: 25.3 kg/m² (Overweight)
History of Present Illness (HPI)
, OPQRST & Characterization:
• Onset: "The pain started suddenly two days ago."
o Probe: "What were you doing at the exact moment it
started? Was there a twist, pop, or giving way?"
• Provocation/Palliation: "The pain is worse when I put
weight on it or try to bend my knee. It feels a bit better
when I rest it and keep it straight with ice."
o Probe: "Does walking upstairs or downstairs make it
worse? Any pain at rest or at night?"
• Quality: "It's a deep, sharp ache inside the knee."
o Probe: "Any burning, throbbing, or stabbing
sensation?"
• Radiation: "The pain is localized to the left knee. It doesn't
shoot up or down my leg."
o Probe: "Any numbness, tingling, or pain in the calf,
ankle, or thigh?"
• Severity: "I'd rate it a 7 out of 10 when I walk, and a 4 at
rest."
• Timing/Temporal: "It's been constant since it started two
days ago."
Associated Symptoms & Key History:
• Mechanism of Injury: [CRITICAL TO ELICIT] "Were
you playing sports, lifting something, or did it just happen
getting out of a chair? Did you hear or feel a 'pop,' 'tear,' or
'snap'?"
• Swelling: "Have you noticed any swelling? Did it come on
immediately (within hours) or the next day?"