Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of oligoarticular JIA involving the right knee. Reports persistent morning stiffness lasting [X] minutes, localized swelling, and intermittent limping. No systemic symptoms (fever, rash, uveitis symptoms). Current medication adherence is [good/poor].
Clinical Examination Findings
Musculoskeletal exam: Right knee demonstrates palpable effusion, warmth, and synovial thickening. Range of motion is limited to [X] degrees of flexion with pain at end-range. No joint laxity or instability. Gait analysis reveals an antalgic gait favoring the left side. No other joints involved.
Treatment Protocol
Plan: Continue NSAIDs (e.g., Naproxen) for symptom management. Intra-articular corticosteroid injection into the right knee scheduled for [Date]. Initiate/Continue DMARD therapy (e.g., Methotrexate) as per protocol. Physical therapy referral for quadriceps strengthening and gait training.