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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Please refer to the summary above to answer this question
Which of the following is the most appropriate next step in management?"
"Patient Information
Age: 23 years
Gender: F, self-identified
Ethnicity: unspecified
Site of Care: office
History
Reason for Visit/Chief Concern: “I can't run anymore because my knee hurts.”
History of Present Illness:
2-day history of right knee pain
pain is localized “somewhere under the kneecap”
pain is achy; rated 5/10; increases to 8/10 with prolonged sitting
reports an occasional “popping” sound and sensation when she rises from a seated position
no history of trauma to the knee
Past Medical History:
right clavicular fracture 2 years ago, treated with a shoulder sling
Medications:
multivitamin
Allergies:
no known drug allergies
Psychosocial History:
does not smoke
drinks up to three glasses of wine weekly
Physical Examination
Temp Pulse Resp BP O2 Sat Ht Wt BMI
37°C
(98.6°F)
65/min 15/min 108/62 mm Hg –
173 cm
(5 ft 8 in)
54 kg
(119 lb)
18 kg/m2
Appearance: no acute distress
Pulmonary: clear to auscultation
Cardiac: regular rate and rhythm; normal S1 and S2; no murmurs, rubs, or gallops
Abdominal: thin; no tenderness, guarding, masses, bruits, or hepatosplenomegaly
Extremities: no joint erythema, edema, or warmth; dorsalis pedis, radial, and femoral pulses intact
Musculoskeletal: diffuse tenderness to palpation over the right anterior knee, worse with full extension of the knee; no associated effusion or erythema; full, symmetric strength of quadriceps, hip abductors, and hip external rotators; crepitus with knee range of motion; antalgic gait
Neurologic: alert and oriented; cranial nerves grossly intact; no focal neurologic deficits"
assistant
Pain control and rest