WEEK 9 I HUMAN CASE STUDY FOR AN
83-YEAR-OLD FEMALE WITH RIGHT
KNEE PAIN (OSTEOARTHRITIS) WEEK
#9/ FULL CASE STUDY WITH SOAP
NOTE & SUMMARY
, 2|Page
Patient information
Age: 83 years
Sex: Female
Ethnicity: Caucasian
Date of Birth: May 10, 1942
Marital Status: Widowed
Occupation: Retired schoolteacher
Insurance: Medicare
Date of Encounter: October 21
Setting: Primary Care / Outpatient Clinic
Attending Clinician: APRN Student
1) Chief Complaint (CC)
“Right knee pain for 8 months — worse with walking and climbing stairs.”
Brief summary: 83-year-old female with chronic, progressive mechanical right
knee pain and intermittent swelling, consistent with symptomatic osteoarthritis
(OA). Pain limits ambulation and ADLs; improved modestly with rest and
acetaminophen.