Advanced Physiology and Pathophysiology
Response 1
Author
Affiliation
Course
Instructor
Due date
Response 1
When it comes to this case, gout is the diagnosis that I would rule out first and foremost. Despite the fact that it is a possibility, the stiffness in both knees prevents me from doing so. Gout causes inflammation of the knee joint, which may be painful. An alternative explanation is inflammation of the prepatellar bursa, which is situated at the base of the kneecap. Bursae are thin, slippery sacs that sit between soft tissues and bones and are filled with fluid. It does not seem that J.K.'s patella has become inflamed or red in this case.
In addition to Pseudogout, which might explain the patient's complaint of knee soreness, I would rule out the possibility of another diagnoses. Because Pseudogout is most often connected with knee discomfort and impairment, it is important to understand what it is. When a pseudogout episode develops, the joints are generally swollen, heated, and very painful to the touch (Sidari & Hill, 2018). When specific signs and symptoms are absent, it is unlikely that a diagnosis can be made.
In view of the patient's complaints of knee soreness as well as the patient's hearing a clicking sound, a Meniscus tear seems to be the most likely diagnosis. When a meniscus is torn, a person will experience significant discomfort on the posterior side of the knee, rather than behind the patellar femur as a result (Couteaux et al., 2019). An imaging method, such as an MRI, may help to confirm or rule out the presence of this condition. Pain, trouble bending the knee, and difficulty placing weight on the knee are all symptoms of these illnesses, among others. McMurray tests for clicking or catching in the knee joint may identify these symptoms. Having a visible or audible click is indicative of a torn medial meniscus.
ALSO READ: Nursing Report Writing Service
References
Couteaux, V., Si-Mohamed, S., Nempont, O., Lefevre, T., Popoff, A., Pizaine, G., ... & Boussel, L. (2019). Automatic knee meniscus tear detection and orientation classification with Mask-RCNN. Diagnostic and interventional imaging, 100(4), 235-242.
Sidari, A., & Hill, E. (2018). Diagnosis and treatment of gout and pseudogout for everyday practice. Primary Care: Clinics in Office Practice, 45(2), 213-236.
