OLD WITH ACUTE LEFT KNEE PAIN FOR 2
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iHuman Case Analysis: Cyrus Horton – Acute Left Knee Pain
,Patient Introduction & Demographics
• Name: Cyrus Horton
• Age: 57 years old
• Sex: Male
• Ethnicity: [Not specified; can be adapted]
• Occupation: [Can add; e.g., construction worker]
• Presentation: Acute left knee pain for 2 days
• Setting: Outpatient clinic
History of Present Illness (HPI)
Cyrus Horton is a 57-year-old male presenting with acute onset left knee pain for the past 2 days. He
reports that the pain started suddenly without any known trauma. He describes it as sharp, severe,
8/10, and localized to the medial aspect of the knee. He notes swelling and redness around the joint.
Pain is worse with weight-bearing and movement and improves slightly with rest. He denies fever,
chills, or recent illness, but mentions a history of gout. No prior knee surgeries.
Timeline:
• Day 0: Sudden onset of pain after waking in the morning.
• Day 1: Swelling and limited range of motion develop.
• Day 2 (today): Pain persists; difficulty walking; seeks medical care.
Associated Symptoms:
• Swelling, redness, warmth over the joint
• Mild stiffness in the morning (~10 minutes)
• No numbness, tingling, or calf pain
Aggravating Factors:
• Walking, standing, knee flexion
Relieving Factors:
• Rest, elevation, over-the-counter NSAIDs provide minimal relief
Past Medical History (PMH)
• Gout, diagnosed 3 years ago
, • Hypertension, well-controlled
• Hyperlipidemia
Past Surgical History (PSH): None
Medications:
• Allopurinol 300 mg daily
• Lisinopril 10 mg daily
• Atorvastatin 20 mg daily
Allergies: NKDA
Family History:
• Father: Gout and hypertension
• Mother: Type 2 diabetes
Social History:
• Retired factory worker
• Non-smoker, occasional alcohol (1–2 drinks/week)
• Sedentary lifestyle, BMI: 30 (obese)
Review of Systems (ROS)
General: No fever, chills, weight loss
Musculoskeletal: Left knee pain, swelling, stiffness; denies other joint pain
Skin: No rashes elsewhere
Cardiovascular: No chest pain, palpitations
Respiratory: No shortness of breath, cough
GI: No nausea, vomiting
GU: No dysuria
Neuro: No weakness, numbness
Endocrine: Denies heat/cold intolerance
Hematologic: No easy bruising
Physical Examination
Vital Signs:
• Temp: 98.6°F (37°C)
• HR: 78 bpm