Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with persistent right knee pain, swelling, and morning stiffness lasting >30 minutes, consistent with known diagnosis of Psoriatic Arthritis. Reports associated skin plaques, nail pitting, and dactylitis. Symptoms exacerbated by inactivity and relieved by mild movement. No history of trauma or recent infection.
Clinical Examination Findings
Right knee examination reveals localized warmth, synovial thickening, and moderate effusion. Tenderness noted along the joint line and suprapatellar pouch. Range of motion is restricted by pain and swelling (flexion limited to [X] degrees). No signs of erythema or cellulitis. Dactylitis assessment: [Positive/Negative]. Psoriatic skin lesions noted on [Location].
Treatment Protocol
Initiate/Continue DMARD therapy (e.g., Methotrexate/Biologic agent). Prescribe NSAIDs for symptomatic relief. Consider intra-articular corticosteroid injection for acute flare. Physical therapy referral for range of motion and quadriceps strengthening. Monitor liver function and CBC periodically.