I Human Mabel Johnson _ Case Study-83 y/o obese woman -knee pain-updated versiom- Key findings: - Chronic progressive knee pain, R L - MSAP - Morning stiffness of joints (knees and hands) for 1 hour exacerbated by cold – related - Right

I Human Mabel Johnson _ Case Study-83 y/o obese woman -knee pain-updated versiom- Key findings: - Chronic progressive knee pain, R L - MSAP - Morning stiffness of joints (knees and hands) for 1 hour exacerbated by cold – related - Right knee effusion (small) – related - Moderate pain and swelling of the fingers – related - Impaired activity of daily living and ambulation – related - Obese – related - Right side limp; bow-legged – related - Lower extremity weakness – related - Hypertensive rentinopathy – unrelated - Hypertension: not controlled on current medications – unrelated - PMH: PUD – resolved/PMH Asked: - How can I help you today? - Any other symptoms or concerns we should discuss? - Where more precisely is the swelling? - Does anything make your swelling problem better or worse? - When did the pain in your knees start? - Does anything make the pain in your knees better or worse? - Does the pain in your knees radiate someplace else? Where? - What does the pain in your knees feel like? - Do you have any allergies? - Any new medical issues or diagnoses since your last visit? - Are you taking any OTC or herbal medication? - Is there a pattern to the pain in your knees? - Do you have any of the following problems: fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, night sweats? - Do you experience: chest pain discomfort or pressure; pain/pressure/dizziness with exertion or getting angry; palpitations; decreased exercise tolerance; blue/cold fingers and toes? - Do you experience: SOB, wheezing, difficulty catching breath, chronic cough, sputum production? - Do you have problems with: N/V, constipation, diarrhea, coffee grounds in your vomit, dark tarry stool, bright red blood in your BM, early satiety, bloating? - Do you have any of the following: dizziness, fainting, spinning room, seizures, weakness, numbness, tingling, tremor? - Do you have problems with: headaches that don’t go away with ASA or Tylenol, double or blurred vision, difficulty with night vision, problems hearing, ear pain, sinus problems, chronic sore throats, difficulty swallowing? - Have you noticed: any bruising, bleeding gums, nose bleeds, or other sites of increased bleeding? - Do you have any of the following: heat or cold intolerance, increased thirst, increased sweating, frequent urination, change in appetite? - When you urinate, have you noticed: pain, burning, blood, difficulty starting or stopping, dribbling, incontinence, urgency during