with Knee Pain (Diagnosis: Osteoarthritis) |
Complete Case Summary with SOAP Note | 2025
Updated Real Exam Format
Patient Information
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• Age: 83 years old
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• Gender: Female ,m
• Reason for Encounter: Knee pain
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, History of Present Illness (HPI)
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The patient is an 83-year-old female presenting with progressively
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worsening right knee pain over the past 8 months. The pain is described
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as a dull, aching stiffness, most prominent in the morning and after
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prolonged activity. She reports morning stiffness lasting less than 30
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minutes, mild swelling, and difficulty climbing stairs or walking long
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distances.
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• Onset: Gradual, insidious over 8 months
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• Location: Right knee (medial joint line) ,m ,m ,m ,m ,m
• Duration: Persistent ,m
• Character: Aching, stiff pain with occasional sharp twinges ,m ,m ,m ,m ,m ,m ,m
• Aggravating Factors: Walking, prolonged standing, cold/damp ,m ,m ,m ,m ,m
weather
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• Relieving Factors: Rest, sitting, acetaminophen
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• Associated Symptoms: Stiffness, mild joint effusion, crepitus on
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movement
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• Severity: 6/10 on pain scale ,m ,m ,m ,m
• Functional Impact: Reduced mobility, avoids long walks, uses,m ,m ,m ,m ,m ,m ,m
railing for stairs
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