Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of left knee swelling, pain, and a sensation of tightness. Onset was [acute/insidious] following [trauma/activity/spontaneous]. Patient reports difficulty with full flexion and weight-bearing. Denies fever, chills, or systemic symptoms.
Clinical Examination Findings
Left knee examination reveals visible suprapatellar swelling and fullness in the parapatellar gutters. Positive patellar ballottement test and positive fluid wave/bulge sign. Range of motion is limited by effusion to [degrees]. No overlying erythema or warmth noted. Neurovascular status intact distally.
Treatment Protocol
Plan: 1. RICE protocol (Rest, Ice, Compression, Elevation). 2. NSAIDs as directed for pain and inflammation. 3. Consider diagnostic/therapeutic arthrocentesis if indicated. 4. Physical therapy referral for range of motion and strengthening. 5. Follow-up in [timeframe] to monitor resolution.