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A 15-year-old high school football player came into the orthopedic office after sustaining an injury to his left knee during a game. He has slight swelling and complains of pain with movement and weight bearing. The nurse will first assess the stability of the knee by comparing it to the uninjured knee and palpating for pain or swelling. Range of motion tests and diagnostic imaging such as x-rays or MRI may also be used to diagnose the injury.

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170 views2 pages

Random

A 15-year-old high school football player came into the orthopedic office after sustaining an injury to his left knee during a game. He has slight swelling and complains of pain with movement and weight bearing. The nurse will first assess the stability of the knee by comparing it to the uninjured knee and palpating for pain or swelling. Range of motion tests and diagnostic imaging such as x-rays or MRI may also be used to diagnose the injury.

Uploaded by

lea jumawan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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A 15-year-old high school football player came into the orthopedic office after sustaining a

“direct blow” to the left knee last night during a game. He has slight edema and complains of
pain with movement and weight bearing. What is your first physical assessment activity? How
would you assess the stability of his left knee? What diagnostic tests are most likely indicated?
Answer:
Patient participated in a school football game and an accident happened resulting to a
degree of difficulty the patient experiences with mobilization indicates the disability the patient
is suffering as a result of their knee injury complaining of pain with movement and weight
bearing.

Nurse begins by comparing the painful knee with the asymptomatic knee and inspecting the
injured knee for erythema, swelling, bruising, and discoloration. The musculature should be
symmetric bilaterally.

The left knee is then palpated and checked for pain, warmth, and effusion. Point tenderness
should be sought, particularly at the patella, tibial tubercle, patellar tendon, quadriceps tendon,
anterolateral and anteromedial joint line, medial joint line, and lateral joint line. Moving the
patient's knee through a short arc of motion helps identify the joint lines. Range of motion
should be assessed by extending and flexing the knee as far as possible (normal range of
motion: extension, zero degrees; flexion, 135 degrees).

Knee injuries are diagnosed by a history and physical examination. Sometimes an X-ray
or MRI may be done.
Mr. Gadon, a 60-year old man lawyer arrives to an orthopedic clinic. He is complaining of
bilateral knee joint pain. Upon assessing the health history of Mr. Gadon mentioned that he
doesn't engage in any physical form of exercise. Drinks alcoholic beverages and occasionally eat
“papaitan”. Series of laboratory test was performed and reveals that he has hyperuricemia.
What is the evidence base that indicates that this man may be at increased risk for gouty
arthritis? What will be your best advice regarding exercise regimen and diet therapy for a 60-
year-old client with gouty arthritis?

Answer:

It is more likely that you will develop hyperuricemia, which causes the
increase risk of gout arthritis as evidence by:

 Being male
 Drinking alcohol. The risk of gout is greater as alcohol intake goes up.
 Having a diet high in purines, which the body breaks down into uric acid.
Purine-rich foods include red meat, organ meat (such as “papaitan”)

My your best advice regarding exercise regimen and diet therapy for a 60-year-old client with
gouty arthritis are:

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