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Assessing Musculoskeletal Pain Week 8 | Assessment; A 15-year-old male reports dull pain in both knees.

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A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, w... hat additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform? Patient Information: Intials: AB Age: 15 Sex: Male Race: White S. CC (chief complaint): dull ache in both knees HPI: Patient is a 15 year old white male who complains of dull pain in both knees. He states at time one or both knees click, and there is a catching sensation under the patella. The patient states it has been about 2 months since the aching began. He denies any other signs and symptoms other than the pain he voices. He denies that it makes him nauseated. Exertion does worsen the pain such as when he is squatting or running. He has taken Aleve and other NSAIDS but denies any real relief. At worse, he complain of a 7/10 pain scale. This study source was downloaded by 100000842568006 from CourseHero.com on 07-22-2022 15:13:43 GMT -05:00 https://www.coursehero.com/file/30475299/Week-8docx/ . Current Medications: Aleve 220mg x 2 tablets PO q 4hr PRN, Motrin 200mg x 2 tablets PO q 4hr PRN (alternating as needed for swelling & pain), Tylenol 225mg x 1-2 tablets PO for fever when needed Allergies: Medication – NKDA; Food – okra – patient’s throat begins to swell and he breaks out in hives; Seasonal – none noted PMHx: all childhood immunization are up to date (MMR, Polio, DTaP/DT/Td, Hib, Hep B); AB did have chicken pox as a younger child; no surgical history; procedures – tonsillectomy and adenoidectomy when 5 years old, tubes in ears when 5 years old. Soc Hx: AB is a student is middle school who has a passion for sports. He plays baseball and runs track for the school. He also participates in summer league baseball. He lives with his parents in a nice subdivision in a 2 story home where his bedroom is upstairs. AB de [Show More]

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