I Human Mabel Johnson 202-2024_ Case Study-83 y/o obese woman -knee pain-updated version Keyfindings:

I Human Mabel Johnson 202-2024_ Case Study-83 y/o obese woman -knee pain-updated version Keyfindings: - Chronic progressivekneepain, R > L - MSAP - Morningstiffnessof joints (knees and hands) for <1hour exacerbatedbycold –related - Right kneeeffusion(small) – related - Moderatepainandswellingof the fingers – related - Impairedactivityof daily livingand ambulation – related - Obese – related - Right sidelimp;bow-legged – related - Lowerextremity weakness – related - Hypertensiverentinopathy – unrelated - Hypertension:not controlledoncurrent medications – unrelated - PMH: PUD – resolved/PMH Asked: - How can I helpyoutoday? - Any othersymptoms or concerns weshoulddiscuss? - Where moreprecisely istheswelling? - Doesanything makeyour swellingproblem betteror worse? - Whendidthe paininyour kneesstart? - Doesanything makethe paininyour kneesbetteror worse? - Doesthe paininyour knees radiatesomeplaceelse? Where? - What does thepain inyour knees feel like? - Do youhave any allergies? - Anynew medical issuesor diagnoses since your last visit? - Areyoutakingany OTC or herbal medication? - Is there apatterntothe pain inyour knees? - Doyouhaveanyof thefollowingproblems: fatigue,difficultysleeping,unintentional weight loss or gain, fevers,night sweats? - Doyouexperience:chestpaindiscomfortorpressure;pain/pressure/dizzinesswith exertion or getting angry; palpitations; decreased exercise tolerance; blue/coldfingers andtoes? - Doyouexperience: SOB, wheezing,difficultycatchingbreath, chroniccough,sputum production? - Doyouhaveproblems with: N/V,constipation,diarrhea,coffeegrounds inyourvomit,darktarry stool,bright redbloodinyour BM,earlysatiety, bloating? - Doyouhaveanyof thefollowing:dizziness, fainting,spinningroom,seizures,weakness, numbness, tingling, tremor? - Do you have problems with: headaches that don’t go away with ASA or Tylenol, doubleorblurredvision,difficulty withnight vision,problems hearing,ear pain,sinus problems,chronicsorethroats,difficultyswallowing? - Have you noticed:anybruising,bleedinggums,nosebleeds,orothersitesofincreased bleeding? - Doyouhaveanyof thefollowing:heatorcold intolerance, increasedthirst,increasedsweating, frequent urination, change inappetite? - When you urinate, have you noticed: pain, burning, blood, difficulty starting or stopping, dribbling, incontinence, urgency during day or night or any changes infrequency? - Haveyou noticedanybreast:discharge, lumps,scalynipples,pain,swelling,orredness? - Doyouhaveanyproblems with: itchyscalp,skinchanges, moles, thinninghair,brittle nails? - Do you have any problems with: nervousness, depression, lack of interest, sadness, memory loss,or mood changes, oreverheardvoices or seethings thatyouknow are not there