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    3.3 Daily Diagnosis

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    keveyannaj16
    An obese woman presents with increasing pain in both knees and hips of one month's duration. On examination, she has mild bilateral limitation of range of motion in the hips and knees along with tenderness and crepitus. X-rays show asymmetric joint space narrowing in the hips. Based on this information, osteoarthritis is a likely diagnosis.

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    3.3 Daily Diagnosis

    Uploaded by

    keveyannaj16
    13 views3 pages
    An obese woman presents with increasing pain in both knees and hips of one month's duration. On examination, she has mild bilateral limitation of range of motion in the hips and knees along with tenderness and crepitus. X-rays show asymmetric joint space narrowing in the hips. Based on this information, osteoarthritis is a likely diagnosis.

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    An obese woman presents with increasing pain in both knees and hips of one month's duration. On examination, she has mild bilateral limitation of range of motion in the hips and knees along with tenderness and crepitus. X-rays show asymmetric joint space narrowing in the hips. Based on this information, osteoarthritis is a likely diagnosis.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    13 views3 pages

    3.3 Daily Diagnosis

    Uploaded by

    keveyannaj16
    An obese woman presents with increasing pain in both knees and hips of one month's duration. On examination, she has mild bilateral limitation of range of motion in the hips and knees along with tenderness and crepitus. X-rays show asymmetric joint space narrowing in the hips. Based on this information, osteoarthritis is a likely diagnosis.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 3

    Unit 3: Skeletal System

    3.3 Daily Diagnosis


    Instructions

    IC/CC: A 54-year-old obese woman presents with increasing pain in both knees
    and hips of one month’s duration.

    HPI: The patient states that her pain worsens following extended periods of
    walking and climbing stairs, is relieved by rest and cessation of weight bearing,
    and is associated with minimal morning stiffness.

    PE: VS: normal. PE: Hips and knees show mild bilateral limitation in range of
    motion, joint margin tenderness, fine crepitus, and joint enlargement due to
    osteophyte formation. Both hands show moderate swelling and erythema in the
    DIP joints.

    Labs: CBC: normal. ESR is mildly elevated.

    X-Ray: Hip XR reveals asymmetric joint space narrowing.

    Questions:

    1. Would you think that an obese woman would be more prone to knee and hip
    pain? Why or why not?

    o Yes, obesity can contribute to knee and hip pain. The excess weight puts added
    stress on the joints, leading to wear and tear. This can result in conditions like
    osteoarthritis, which causes joint pain and stiffness. Losing weight can help reduce
    the strain on the knees and hips.

    2. List three (3) objective findings that the physician finds during his
    examination. Remember objective findings refers to “signs” obtained
    through observation, physical examination, laboratory or diagnostic testing.

    o Mild bilateral limitation in range of motion in the hips and knees.


    o Joint margin tenderness and fine crepitus in the hips and knees.
    o Joint enlargement due to osteophyte formation in the hips and knees.

    3. What is meant by “cessation of weight bearing”?


    o The term "cessation of weight bearing" refers to stopping exerting weight or
    strain on the afflicted joints. To ease discomfort and enable the joints to rest,
    avoid activities that require standing, walking, or placing stress on the knees
    and hips.

    4. The physician indicates that the patient shows “mild bilateral limitation in
    range of motion.” What do you think this means?

    o The term "mild bilateral limitation in range of motion" refers to the patient's
    inability to move their joints to their maximum extent.

    5. Define the term “crepitus”.

    o "Crepitus" is a crackling or grating sensation or sound experienced when


    moving a joint. It is frequently accompanied with rough or uneven surfaces
    within the joint, as in osteoarthritis.

    6. Where on the body would you find Distal Interphalangeal Joint (DIP Joint)?

    o The Distal Interphalangeal Joint (DIP Joint) is found in the fingers and toes.
    It is the closest joint near the tips of the fingers and toes.

    7. The x-ray reveals asymmetric joint space narrowing? What does this
    indicate?

    o Asymmetric joint space narrowing on x-ray indicates uneven or unequal


    cartilage loss in the afflicted joint. This might indicate joint injury or
    degenerative disorders like osteoarthritis.

    8. Does this patient have an infection? Why or why not?

    o Based on the information provided, there is no mention of an infection in the


    patient.

    9. Does this patient have inflammation? Why or why not? (Hint: Refer to the
    physical examination and patient’s labs)

    o Yes, the patient may be inflamed. The physical examination and test results
    may indicate symptoms of inflammation such as redness, edema, high levels
    of inflammatory markers, or other indicators.
    10.What is your diagnosis based on the information that has been provided to
    you? Be sure to explain how you came up with this diagnosis.

    o To make an accurate diagnosis, it is preferable to speak with a healthcare


    expert who can completely analyze the patient's symptoms, medical history,
    and perform any required tests.

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