Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe pain, swelling, and erythema in the left knee. Symptoms began [insert duration] ago, reaching peak intensity within 24 hours. Patient reports difficulty with weight-bearing and limited range of motion. No history of recent trauma. Previous history of gout flares noted. Denies fever or chills.
Clinical Examination Findings
Left knee examination reveals significant joint effusion, localized warmth, and marked erythema. Tenderness to palpation noted along the joint line and suprapatellar pouch. Range of motion is severely restricted by pain, specifically in flexion. No signs of cellulitis or skin breakdown. Neurovascular status intact distally.
Treatment Protocol
Initiate treatment with NSAIDs (e.g., Indomethacin or Naproxen) as tolerated, or Colchicine per protocol. Consider intra-articular corticosteroid injection if systemic therapy is contraindicated or insufficient. Recommend RICE therapy (Rest, Ice, Compression, Elevation) for the left knee. Advise hydration and follow-up for serum uric acid monitoring.