Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe pain, swelling, and erythema in the right knee. Symptoms began [Timeframe], characterized by intense throbbing and exquisite tenderness to touch. Patient reports difficulty with weight-bearing and limited range of motion. No history of recent trauma. Previous history of gout flares noted.
Clinical Examination Findings
Right knee exam: Significant joint effusion, warmth, and marked erythema noted over the suprapatellar and medial aspects. Tenderness to palpation along the joint line. Range of motion is restricted due to pain, particularly with 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. Consider Colchicine if within 24-36 hours of symptom onset. Intra-articular corticosteroid injection may be indicated if systemic therapy is contraindicated or ineffective. Recommend RICE protocol (Rest, Ice, Compression, Elevation) and non-weight bearing as needed.