Comprehensive i-Human Case Study – Week 9: Evaluation
and Management of Knee Pain in an 83-Year-Old Female
with Supporting X-Ray, ECG, and Laboratory Findings
(Outpatient Clinic Evaluation 2025)
,Patient Information
Name: Mrs. Alice Thompson
Age: 83 years
Gender: Female
Setting: Outpatient Clinic
Chief Complaint: “My right knee has been hurting and feels
stiff when I wake up.”
Duration: 3 months, gradually worsening
History of Present Illness (HPI)
Mrs. Thompson is an 83-year-old woman presenting with a 3-
month history of progressively worsening right knee pain and
morning stiffness lasting about 20–30 minutes. The pain is
described as dull and aching, worsens with weight-bearing or
prolonged walking, and improves slightly with rest. She denies
recent trauma, fever, or redness. Over-the-counter
acetaminophen provides partial relief. She reports mild swelling
around the joint but denies locking or giving way.
She also notes difficulty climbing stairs and standing up from
a seated position, limiting her mobility and daily activities.
Past Medical History
, • Hypertension (diagnosed 20 years ago)
• Type 2 Diabetes Mellitus (diagnosed 10 years ago, well-
controlled)
• Hyperlipidemia
• Mild Osteopenia (DEXA 2021)
Medications
• Lisinopril 10 mg PO daily
• Metformin 500 mg PO BID
• Atorvastatin 20 mg PO nightly
• Calcium and Vitamin D supplements
• Occasional Acetaminophen 500 mg as needed
Allergies
• No known drug allergies
Family History
• Mother: Osteoarthritis, deceased at 89
• Father: Myocardial infarction at 78
• No family history of autoimmune disorders
Social History
• Retired teacher; lives alone
• Never smoked; occasional glass of wine
• No illicit drug use
• Walks with a cane occasionally
Review of Systems
and Management of Knee Pain in an 83-Year-Old Female
with Supporting X-Ray, ECG, and Laboratory Findings
(Outpatient Clinic Evaluation 2025)
,Patient Information
Name: Mrs. Alice Thompson
Age: 83 years
Gender: Female
Setting: Outpatient Clinic
Chief Complaint: “My right knee has been hurting and feels
stiff when I wake up.”
Duration: 3 months, gradually worsening
History of Present Illness (HPI)
Mrs. Thompson is an 83-year-old woman presenting with a 3-
month history of progressively worsening right knee pain and
morning stiffness lasting about 20–30 minutes. The pain is
described as dull and aching, worsens with weight-bearing or
prolonged walking, and improves slightly with rest. She denies
recent trauma, fever, or redness. Over-the-counter
acetaminophen provides partial relief. She reports mild swelling
around the joint but denies locking or giving way.
She also notes difficulty climbing stairs and standing up from
a seated position, limiting her mobility and daily activities.
Past Medical History
, • Hypertension (diagnosed 20 years ago)
• Type 2 Diabetes Mellitus (diagnosed 10 years ago, well-
controlled)
• Hyperlipidemia
• Mild Osteopenia (DEXA 2021)
Medications
• Lisinopril 10 mg PO daily
• Metformin 500 mg PO BID
• Atorvastatin 20 mg PO nightly
• Calcium and Vitamin D supplements
• Occasional Acetaminophen 500 mg as needed
Allergies
• No known drug allergies
Family History
• Mother: Osteoarthritis, deceased at 89
• Father: Myocardial infarction at 78
• No family history of autoimmune disorders
Social History
• Retired teacher; lives alone
• Never smoked; occasional glass of wine
• No illicit drug use
• Walks with a cane occasionally
Review of Systems
