Description

Problem Statement

CS is a 76-year-old female, with chief complaint of bilateral knee pain that started five years ago. The pain has gradually worsened and also affects the fingers of bilateral hands. Positive subjective findings are stiff joints, achy pain, and swelling to knees, fingers, and knuckles; pain is worse with palpation, ambulation, climbing stairs, cold weather, and in the am for 15-20 after awakening. Negative for redness, fevers, drainage, trauma, or any recent infection. Positive objective findings are right knee effusion, limited ROM, right sided limp, bow- legged, eye-AV knicking, and obesity. Negative for rashes, lesions, SOB, or chest pain. PMH: hypertension and PUD due to ibuprofen use.