- Do you have pain in your joint? Other joints?
- Have you noticed any swelling in your joint?
- Have you noticed any redness in your joint?
- Do you feel your joint is warm?
- any stiffness
C-Overuse & Trauma
any recent heavy lifting /any recent injury
1-weakness (can you move it or can you walk)/tingling/ numbness
Rash/Mouth ulcer/Photophobia/ Eye changes/Hair/Skin
Neck pain meningitis (neck stiffness/ill contact)
shoulder pain angina Qs
Back pain all neuro Qs
Hip pain back Qs
leg & calf pain V.V/DVT as recent immobilization or surgery/cellulitis
knee & heel pain
-SLE qs from R
-Lyme dx : tick bite
-with Heel if improve with rest; fracture/strain but if improve with movement;
Main D.D of Knee pain :
1-OA 2-RA 3-PFS 4-MENISCAL TEAR
thank you for your cooperation . now depending on your history and physical
examination, your problem could be related to a variety of condition. it could
be a wear & tear in your knee or a more serious infection in your knees .But
till now I’m not sure what is the cause of what you are dealing with .so I need
to run some tests including some blood work up like a Complete Blood Count
(CBC) and some imaging studies like X-ray and CT scan. once the results are
available, we will meet again to discuss the final dx & the prober management
. Meanwhile,I will keep you under observation and my nurse is going to give
you some pain medications etc.
or meanwhile ( counsel)
Do you have any questions/concerns for me? Yes/ No.
feel free to contact me whenever you have any Qs , it was a pleasure
meeting you, bye( shaking)
you may have a fractured bone, a simple sprain, or a dislocation of the
shoulder joint. We will need to obtain an image of your arm to make a
diagnosis, and MRI may be necessary as well. Your safety is my primary
concern, and I am here to help and support you.
Q:Doctor, do you think I will be able to move my arm again like before ?
Hopefully your range of motion with your arm will go back to normal, but
first we need to out exactly what is causing your problem
. My father had a clot in his leg. What do you think I should do to make sure
I don’t get one to?
There are several measures you can take that may prevent you from having
a clot.you should avoid immobilization for long periods of time for
example, while sitting at your computer desk or on
plane trips.try to move in place or take a short walk. if you are on oral
contraceptive pills, I strongly recommend that you stop taking them, as
they are known to precipitate clotting.I also suggest that you exercise
regularly and manage your diet."