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Posted: March 21st, 2022
CASE STUDY 4: Osteoarthritis Discussion 4
CASE STUDY 4: Osteoarthritis Discussion 4
Ø 80 year old female complains of long-standing history of pain in bilateral hips, knees, and hands
Ø Difficulty walking and getting up from sitting or kneeling position due to discomfort and “stiffness”
Ø Reports low back pain for several years
Ø Only history of fracture of right arm as a child at approximately age 9
Question 1: What other questions about her symptoms would you like to ask this patient?
ADDITIONAL HISTORY
>Pain in hips and knees have existed for many years, gradually getting worse.
>Here today at encouragement of daughter and husband; states, I couldn’t get up when Iwas i n the flower garden. I had to crawl into the house.”
>Reports joints on right side of body are most painful and troublesome
>Reports weight gain of 10 pounds over past 4 months, which she attributes to decreased activity
>Joints are most painful during rainy weather, in the morning, or after sitting or kneeling for a long time. Reports that joints loosen up after activity.
>Farmer’s wife, active in flower and vegetable gardening, long history of horseback riding.
>Reports being “thrown” 15 years ago and landing on her right hip. No known associated fracture; hasn’t ridden since.
>Denies redness, swelling, or heat at the joint.
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CASE STUDY 4: DISCUSSION OF OSTEOARTHRITIS
CASE STUDY 4: DISCUSSION OF OSTEOARTHRITIS
An 80-year-old female complains of long-standing pain in her bilateral hips, knees, and hands.
Due to soreness and “stiffness,” it is difficult to walk and rise up from a sitting or kneeling position.
Ø Reports low back pain for several years
Only a history of a right arm fracture as a child, around the age of nine.
Question 1: What other questions about her symptoms would you like to ask this patient?
ADDITIONAL HISTORY
>Pain in hips and knees have existed for many years, gradually getting worse.
>Here today at encouragement of daughter and husband; states, I couldn’t get up when Iwas i n the flower garden. I had to crawl into the house.”
>Reports joints on right
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