14 Scenarios contain the text: 'knee' |
| Title | Description |
|---|---|
| Child with sore joints | A 5 year old Niuean girl is brought to the local Emergency Department as she has difficulty walking. On examination she has tenderness in her left ankle and her right knee is tender and swollen. D/O: Hauora Māori (•••), Orthopaedics (•••), Paediatrics (•••), Rheumatology (•••) PTT: Child health, Musculoskeletal |
| Gout / acute pain and swelling of knee | A 56 year old Samoan man is admitted to hospital with an acute myocardial infarction. He has a history of hypertension treated with a thiazide diuretic, type 2 diabetes that is diet controlled, hyperlipidaemia and high alcohol consumption. Three days following his admission to hospital he develops acute pain and swelling of his knee. D/O: Musculoskeletal System (•••), Rheumatology (•••), Hauora Māori (••) PTT: Musculoskeletal |
| Itching child | An 8 year old Māori boy is admitted to the paediatric ward with an generalised itchy red scaly eruption. He has had atopic eczema since he was 3 months old and has required multiple courses of antibiotics and been admitted for incision and drainage of an abscess 10 months ago. He has previously experienced boils and he has had courses of antibiotics in addition to topical steroids and anti-scabies treatment without success. The boy's skin is dry, thickened and excoriated with crusted areas about the knees and ankles. D/O: Dermatology (•••), General Practice (•••), Hauora Māori (•••), Immunology (••), Infectious Diseases (••), Paediatrics (••) PTT: Skin |
| Knee injury | A 26 year old Cook Island male presents with pain and swelling of his right knee after a twisting injury sustained over the weekend whilst playing rugby league. He has noticed that the knee seems to 'give way' since the injury. D/O: Musculoskeletal System (•••), Orthopaedics (•••) PTT: Musculoskeletal |
| Knee pain | A 70 year old Māori woman with a 1 year history of worsening knee pain underwent a left total knee joint replacement 6 weeks ago. She is a local kaumātua, helping to run a training programme for Māori youth, and usually plays bowls twice a week. She now presents with 5 days of increasing pain and swelling in this knee. She had a rigor and when she measured her temperature last night it was 38.8°C. Her left knee is markedly swollen, hot to touch and she cannot walk because of the pain. D/O: Infectious Diseases (•••), Musculoskeletal System (•••), Orthopaedics (•••), Rheumatology (•) PTT: Musculoskeletal |
| Neck lump | A 72 year old NZ European man comes to the Pre-Admission Clinic before a knee replacement operation. During the examination you notice a lump in his neck. He says that he has not noticed it and feels well. D/O: Anatomical Pathology (•••), Endocrinology (•••), General Practice (•••), Otorhinolaryngology (•••), General Surgery (••), Haematology (••) PTT: ENT |
| Osteomyelitis | A ten year old Niuean child presents with a 2 day history of limp from a painful knee. He had chicken pox over a week ago, weighs 70 kg and is 140 cm tall. D/O: Infectious Diseases (•••), Microbiology (•••), Musculoskeletal System (•••), Orthopaedics (•••), Paediatrics (••) PTT: Musculoskeletal |
| Rash on extensor surfaces and joint pains | An 45 year old NZ European man, who is obese, hypertensive, and smokes cigarettes, goes to see his GP about a rash. It has been present for some 20 years on his elbows and knees but is now becoming widespread. This rash bothers him a lot as he feels it is unsightly. On further questioning it becomes apparent that he experiences joint pains of the fingers, wrists and ankles. D/O: Dermatology (•••), Rheumatology (•••), Immunology (••) PTT: Musculoskeletal, Skin |
| Reactive arthritis | A 22 year old NZ European man presents to the Emergency Department with knee and ankle pain. He fell down the steps at home during the weekend. Further history reveals he has had burning pain on urination for over a week. On examination he has redness of the eyes, a swollen left knee and tenderness at the heels. D/O: Musculoskeletal System (•••), Rheumatology (•••), Immunology (••), Infectious Diseases (•) PTT: Musculoskeletal |
| Child with abnormal gait | A Somali woman brings her 2 year old son to the GP, because her husband is concerned about the way he is walking. His mother wears a veil for religious reasons. D/O: Musculoskeletal System (•••), Orthopaedics (•••), Paediatrics (•••), General Practice (••) PTT: Musculoskeletal |
| Acutely painful limb | A 65 year old Indian man is brought into the Emergency Department after waking up with severe pain in his right leg. He has never had this pain before. You are oncall with the vascular surgical registrar and go to see him. You find out that he has an 'irregular heartbeat' for which he takes aspirin. D/O: Cardiology (•••), Cardiovascular System (•••), General Surgery (••), Emergency Medicine (•), Musculoskeletal System (•) PTT: Seriously ill patient |
| Chronic illness in paediatrics | A 12 year old Samoan girl presents to Emergency Department with her mother after a fall from her wheelchair during a seizure. They have a recent outpatient clinic letter which outlines her past medical history to include spastic quadriplegic cerebral palsy from birth; she is wheelchair-bound and fully dependent for all self-cares. She has epilepsy and global developmental delay and is nonverbal. She has had a gastrostomy for night feeding since 4 years of age and has orthopaedic problems including scoliosis and tendoachilles contractures. She has bronchiectasis with two previous episodes of severe pneumonia, the last of which 6 months ago required a prolonged admission and she now remains on nocturnal VPAP (variable positive airway pressure). She attends the local intermediate school via satellite class and has multiple community services involved in her schooling, transport and therapy. D/O: Paediatrics (•••), Nervous System (••), Neurology (••), Orthopaedics (••), Respiratory Medicine (••), Musculoskeletal System (•), Respiratory System (•) PTT: Child health |
| Musculoskeletal lump | A 15 year old Samoan boy presents, to a specialist clinic you are attending, with a slowly enlarging lump on his left proximal tibia. It has recently become mildly tender but there are no other signs of inflammation or infection. Subsequent medical evaluation reveals this to be a malignant musculoskeletal tumour. D/O: Musculoskeletal System (•••), Oncology (•••), Orthopaedics (•••), Paediatrics (•••), Palliative Medicine (•••) PTT: Musculoskeletal |
| Neonatal stridor | A 3 week old Cook Island Māori infant is seen by her GP. The Plunket nurse is concerned about stridor, which has been present almost all the time since birth. D/O: Otorhinolaryngology (•••), Paediatrics (•••), Respiratory System (•••), General Practice (•) PTT: Child health |
| Title | Description |
