GROUP 2

Athaya Hafizhah 13-048

Fathimah Azzahra 13-129
Renggo Aning Saputri 13-332
Wulandari 13-432
Zahrotul Jannah 13-447
A 45 year old white man presents to your office
complaining of left knee pain that started last night.
He says that the pain started suddenly after dinner
and was severe within a span of hours. He denies
any trauma, fever, systemic symptoms, or prior
similar episodes. He has a history of hypertension for
which he takes hydrochlorothiazide (HCTZ). He
admits to consuming a great amount of wine last
night with dinner. On examination, his temperature
is 98 F, his pulse is 90 beats/min, his respirationes are
22 breaths/min, and his blood pressure is 129/88 mm
Hg.
Heart and lung examinations are unremarkable. The
patient is reluctant to flex the left knee, wincing in
pain at touch, and has passive range of motion. The
knee is edematous, hot to touch, and has erythem
of the overlyng skin. No crepitation or deformity is
apparent. No other joints are involved. Inguinal
lymph nodes are not enlarged. Complete blood
count reveals a white blood call count of 10,900
cell/mm3 and is otherwise normal.
Keyword

1. A 45 year old white man

2. left knee pain
3. the pain started suddenly and was severe within a span of
hours
4. Denies any trauma, fever & systemic simptoms
5. He has a history of hypertension
6. takes hydrochlorothiazide (HCTZ)
7. Consumed wine
8. The knee is edematous, hot to touch, and has erythem of the
overlying skin
Differential diagnosis

Joint pain
Osteoarthritis
Gout athritis
Reumathoid athritis
Identity

Surname :-
First Name :A
Age : 45 yo
Sex : Male
Marital status : -
Present complaint

Left knee pain that started last night

Severe within a span of hours
He denies any trauma, fever, systemic
symptoms, or prior similar episodes
 On examination

General condition : - GIS :-

ENT :- GUS :-
RS : NAD CNS :-
CVS
P = 90 beats/min
RR = 22 breaths/min
BP = 129/88 mm Hg.
Immediate past history

Hypertension for which he takes

hydrochlorothiazide (HCTZ)
He admits to consuming a great
amount of wine last night with
dinner
Points of Note

The patient is reluctant to flex the left

knee, wincing in pain at touch, and has
passive range of motion
The knee is edematous, hot to touch,
and has erythem of the overlyng skin
No crepitation or deformity is apparent.
No other joints are involved
Inguinal lymph nodes are not enlarged
Investigation

Complete blood count reveals a

white blood call count of 10,900
cell/mm3 and is otherwise normal
Diagnosis

Joint pain
Management

Nonsteroidal anti-inflammatory drug

(NSAID)
Aspirin
Ibuprofen
Analgesia : Tramadol
Muscle relaxant