DOUGLAS BELL 57 YEARS OLD :PRESENTS : ACUTE LEFT KNEE PAIN FOR 2 DAYS WEEK I HUMAN CASE STUDY 2025 CASE STUDY CHAMBERLAIN UNIVERSITY COLLEGE . Acute Gout Flare Versus Septic Arthritis: Diagnostic Reasoning in a Complex Knee Pain Case

DOUGLAS BELL 57 YEARS OLD :PRESENTS :
ACUTE LEFT KNEE PAIN FOR 2 DAYS WEEK I
HUMAN CASE STUDY 2025 CASE STUDY
CHAMBERLAIN UNIVERSITY COLLEGE .


Acute Gout Flare Versus Septic Arthritis: Diagnostic Reasoning in a Complex Knee Pain Case

, Douglas Bell – Acute Left Knee Pain for 2
Days
Case Type: Week 1 i-Human Case Study (2025)
Institution: Chamberlain University College of
Nursing
Patient Name: Douglas Bell
Age: 57 years
Gender: Male
Reason for Encounter: Sudden onset left knee
pain, 2-day history


S: Subjective
• Chief Complaint (CC):
"My left knee started hurting two days ago after
I got up from a chair. It’s been swollen and
painful ever since."
• History of Present Illness (HPI):
Douglas Bell is a 57-year-old male who reports
acute onset of left knee pain and swelling that
began 2 days ago. No history of recent trauma or
overuse. He describes the pain as sharp and
constant, rated 7/10. Worse with movement,

, especially going downstairs or bending. No
locking or giving way reported.
• Past Medical History (PMH):
o Hypertension

o Gout (past episode 2 years ago)

o Hyperlipidemia

• Medications:
o Lisinopril 10 mg daily

o Atorvastatin 20 mg daily

o Occasional ibuprofen PRN

• Allergies:
o NKDA

• Social History:
o Drinks alcohol 3–4 times/week

o Diet high in red meat and seafood

o No tobacco or recreational drugs

o Sedentary lifestyle

• Family History:
o Father: history of gout and osteoarthritis

o Mother: hypertension and diabetes




O: Objective
• Vital Signs: