I-Human Case Study: Evaluating and Managing Musculoskeletal Conditions
Patient Information
Name – M.J
Age – 76-year-old.
Race –
Subjective
Chief Complaint: “I am having pain in my knees.”
HPI: A 76-year-old female presents at the office complaining of knee pain. She says her knees
have been worsening over the past couple of years and was referred to the office for evaluation.
She also reports stiffening of hands and her knuckles seem to get fat, which hurt sometimes too.
She reports more pain when things blow up all puffy like. She says the swelling and pain
worsening in the morning and the swelling lasts hours to days.
Past Medical History: She reports kidney problem, hypertension, and stomach bleeding when
taking ibuprofen for her knee pain.
Allergies: She reports no known allergy.
Past Surgical History: He reports having fake teeth with nothing recent done.
Medications: She is taking ibuprofen and blood pressure pills.
Family History: She says her sister has hypertension. Her mother had knee arthritis, and her
kids are all fine.
Social History: She is retired, does not drink alcohol or recreational drugs, and follows the
Christian faith.
Health maintenance: She reports that her immunizations are up to date. She has medical
insurance and access to stores with fresh produce. She does not exercise
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