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Comprehensive Clinical Case Study in
Musculoskeletal Medicine: Acute Knee Pain
Presentation—Patient: Tod Gouseau—with
Diagnostic Reasoning, Evidence-Based
Treatment, and Follow-Up Planning (2026)
Comprehensive Clinical Case Study: Acute Knee Pain
Patient Name: Tod Gouseau
Age/Sex: 57-year-old male
, Date: 2026
Presentation: Acute right knee pain
1. Patient Introduction
Tod Gouseau is a 57-year-old male presenting to the outpatient clinic with sudden onset right knee pain
for 2 days. He describes the pain as severe, sharp, and localized to the medial aspect of the knee. He
reports swelling, redness, and warmth in the joint, which has limited his mobility and caused difficulty
in walking. There is no history of trauma. He has a history of hypertension and hyperuricemia. Tod’s
occupation is office-based, with occasional recreational hiking. He denies fever, chills, or systemic
symptoms.
2. History of Present Illness (HPI)
• Onset: 2 days ago, sudden onset while at rest
• Location: Right knee, primarily medial joint line
• Duration: Constant pain since onset
• Character: Sharp, throbbing, severe
• Aggravating factors: Weight-bearing, bending, climbing stairs
• Relieving factors: Rest, elevation, ice
• Associated symptoms: Swelling, warmth, limited range of motion
• Prior episodes: Mild knee discomfort in past, never this severe
• Medications: Lisinopril 20 mg daily, allopurinol 100 mg daily
• Allergies: NKDA
• Family history: Father with gout, mother with osteoarthritis
• Social history: Non-smoker, occasional alcohol use, exercises irregularly
3. Review of Systems (ROS)
• Musculoskeletal: Right knee swelling, redness, stiffness
• Constitutional: Denies fever, chills, weight loss
• Cardiovascular: Denies chest pain, palpitations
• Neurologic: Denies numbness or tingling
• Other systems: Negative
Comprehensive Clinical Case Study in
Musculoskeletal Medicine: Acute Knee Pain
Presentation—Patient: Tod Gouseau—with
Diagnostic Reasoning, Evidence-Based
Treatment, and Follow-Up Planning (2026)
Comprehensive Clinical Case Study: Acute Knee Pain
Patient Name: Tod Gouseau
Age/Sex: 57-year-old male
, Date: 2026
Presentation: Acute right knee pain
1. Patient Introduction
Tod Gouseau is a 57-year-old male presenting to the outpatient clinic with sudden onset right knee pain
for 2 days. He describes the pain as severe, sharp, and localized to the medial aspect of the knee. He
reports swelling, redness, and warmth in the joint, which has limited his mobility and caused difficulty
in walking. There is no history of trauma. He has a history of hypertension and hyperuricemia. Tod’s
occupation is office-based, with occasional recreational hiking. He denies fever, chills, or systemic
symptoms.
2. History of Present Illness (HPI)
• Onset: 2 days ago, sudden onset while at rest
• Location: Right knee, primarily medial joint line
• Duration: Constant pain since onset
• Character: Sharp, throbbing, severe
• Aggravating factors: Weight-bearing, bending, climbing stairs
• Relieving factors: Rest, elevation, ice
• Associated symptoms: Swelling, warmth, limited range of motion
• Prior episodes: Mild knee discomfort in past, never this severe
• Medications: Lisinopril 20 mg daily, allopurinol 100 mg daily
• Allergies: NKDA
• Family history: Father with gout, mother with osteoarthritis
• Social history: Non-smoker, occasional alcohol use, exercises irregularly
3. Review of Systems (ROS)
• Musculoskeletal: Right knee swelling, redness, stiffness
• Constitutional: Denies fever, chills, weight loss
• Cardiovascular: Denies chest pain, palpitations
• Neurologic: Denies numbness or tingling
• Other systems: Negative
