The boy that I was so sorry for..
His progression is pretty good..
so the coming monday will be his last visit(hopefully)
if everything's ok, then I'll wrap up the case :D:D:D
God bless him...
today I've got a quite difficult case...
just to share with you here shin...
She's a 22y/o female patient studying Medicine in IMU...
She came for postural check up, as well as a check for her knees..
She had a trauma on both knees when she was 15..
she fell from a van, landed on both knees..
that time she thought it was minor thing..
so she just did a basic dressing for her open wound with antiseptics..
since then, her knees got really vulnerable...
a minor hit, or even gentle tap on patella would cause her knees to bruise
(so she cannot really kneel down too)
when she was 17/18, before going to national service,
she saw an orthopedic, and her X-ray revealed normal,
the orthopedic actually prescribed her with physiotherapy,
but she doesnt think it helps.
and later after she entered IMU, she went to IMU clinic again for her knees problem..
and the MD prescribed physio as well, but same thing, she didnt think it works.
Usually she wont feel the pain, but once the knee get hit, or tap, it just get bruises very easily.
Hmmm so my clinician actually saw my patient after i took the history...
Not much examination was done on her, we just asked for knee (weight bearing) AP and lateral X-ray for both knees..
X-ray showed slight medial shift of the knee, and the medial knee joint space of both knees are diminished.
My clinician said she's very likely to develop into osteoarthritis without any intervention..
So this is my case...And I'm goin to look into her X-ray tmr...
Update you after I see her and examine her on monday?
Hmmm...you like me posting cases like this?
If yes, I'll do it if I see interesting cases...you can just read for pleasure :)
haha.. my dear, thanks for sharing.. but if u are too busy then is ok, i just scare that u will be very tired only =) Anyway, thanks for the sharing! hehe.. recently don't really know since when, my popliteal region will be like a bit pain after long bending my leg and I try to straighten it. I don't really know when did i hurt my ligament, and not really sure is it ligament problem.. but this goes for few months ad.. 3 months i think.. but i think if i really hurt the ligament, maybe it takes time to recover.
ReplyDeleteshin arr,i need more thorough history la...
ReplyDeletebending your leg means sitting or squatting?
u mean the pain gets relieved when you straighten ur leg? or straightening your leg aggravates it? unilateral or bilaterally? which side is affected side?
popliteal region means post knee?is it within popliteal fossa or around it?
is the pain sharp?dull?burning?tingling?numbness?achy?or instability?
does the pain radiate down or up? or localized pain?
timing of pain?morn?night? or intermittent? (comes and goes)
anything relives the pain?(something like heat/oilment/massage etc)
anything that aggravates the pain?(exercise in certain movement/prolonged squatting etc)
did you have any trauma to the knee before?
is in the process when i changing position.. like from bending to straight position.. is unilateral only.. left leg.. yea.. post knee.. i think within the fossa.. hmm.. is just like.. dull i think.. localized pain.. no timing one.. just when i change position lo... nothing can relieve.. just dun bend leg for too long time maybe.. im not sure have trauma before or not.. >.< dun too worry ok!! should be alright one..
ReplyDelete