Respond to at least two of your colleagues on 2 different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues' differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning.

Respond to at least two of your colleagues on 2 different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning.

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Purpose: 

This purpose of this assignment is to review case study #3 knee pain, and use the information to evaluate, form possible diagnoses, and practice documenting in soap format. Documenting in SOAP note format allows a practitioner to assess and document that the patient was treated with a holistic approach (Ball, Dains, Flynn, Solomon, & Stewart, 2019).

Case 3: Knee PainA 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform?

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Patient Information:ANW              15                     1/19/04                       M                     Caucasian

(CC): “My knees hurt, sometimes I hear a clicking sound, and they get stuck.”

History of Present Illness (HPI): Alexander (Alex) is a 15 year old Caucasian male who has come to the clinic complaining of pain in his knees. He states “sometimes it is just one knee that clicks and sometime it is both,” Alex states that his “knees get stuck or catch under the knee cap”. He rates the pain as 3/10 most days but after games the pain can be 6/10. He describes the pain as “dull and achy,” like I have done too much stuff. He states the pain started “a few weeks ago” and it was once in a while but now they hurt almost every day. He said his coach wants him to get his knees checked out before the next game.

Medications: Motrin 200mg po Nightly.

Allergies: KNA

Past Medical History (PMH): None

Past Surgical History (PSH): None Sexual/Reproductive History: Heterosexual. Identifies as male. Denies sexually active.

Personal/Social:  Alexander is a sophomore He plays on the basketball, baseball, soccer, football, track and wrestling team. He also loves to swim but states they do not have a team at the school. Alex states although he loves sports he wants to become a “sports doctor” and be a sports coach in his part time. Alex is proud of his 4.2 GPA and plans to graduate 1 year early and start college. He lives with his mother, adoptive father, maternal grandmother, and older sister.  Alex says he has a half-brother that is 5 that leaves in Tennessee with his biological father. He states his biological father had a baby boy that died at birth a few years ago.  He reports seeing his biological father a few times in the last few years. He states he has a girlfriend is named Heather, is also a sophomore and that she is a cheerleader and also plays soccer. He reports that he and Heather are not sexual active but if they become active they will use condoms. Alex is excited to get his license soon. He reports he wears his sit belt in the car and wears all protective sport gear. Denies tobacco use, drinking, illicit drug use. Reports he tried Marijuana x1 and a beer in 2018 at a party.

Immunization History: All immunization up to date per mother. Received flu vaccine 10/2018. Verified through Florida Immunization Registry.

Family History:                                                                                                                                    

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