Genital/Rectal: Not examined Musculoskeletal: Bilateral knee pain. 5/5 strength noted to all muscle groups Neurological: Alert and oriented x4, GCS 15, DTR +2 bilaterally, moves all extremities Skin: Cool, dry and intact. Good turgor, no lesions. Diagnostics: Labs: none Radiology : MRI, X-ray, CT scan Physical Exams : McMurray test, Apley test, Pivot shift test, Hyperextension test Differential Diagnosis (DDX): 1. Priority Diagnosis: Meniscus tear: A knee injury is a frequent injury in people that do sports and other activities. Patients with meniscal tears often complain of pain, a mechanical symptom of popping, and knee catching or locking ( Doral, M. N., Bilge, O., Huri, G., Turhan, E., & Verdonk, R., (2018) . 2. Osteochondritis dissecans : Commonly causes knee pain in skeletally immature patients- pediatric, adolescents and young athletes ( Zanon, G., DI Vico, G., & Marullo, M., 2014). Can present with non- specific joint pain and catching or locking. 3. Patellofemoral pain syndrome: One of the most common knee disorders. Iliotibial band tightness can cause pressure on the patella causing pain. Subtalar joint pronation and gait deviations can also be a cause (Epocrates, 2019). 4. Medial collateral ligament injury: Most common injury in football . Injury occurs with the valgus movement over a flexed knee, result can be isolated or multiple ligament injuries ( Encinas-Ullán, C. A., & Rodríguez-Merchán, E. C., 2018)
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- Summer '15