ComprehensiveClinicalCases
Orthopedic case proformas
1. Pathological joints/Osteoarthritis
Patient particulars
Name
Age
Gender
Address
Education
Occupation
Date of admission.
Date of examination
Chief complaints:
Pain
Joint Swelling
Joint stiffness
Restricted movement
Deformity.
Joint involved
History of present illness.
Pain
Joints involved-small/Large
Nature of pain
,Joints involved -Symmetrical/Asymmetrical/Fleeting type of Joint pain
Onset
Duration
Progression
Diurnal variation
Aggravating factor
Reliving factors
Joint stiffness
Onset
Duration
Progression
Early morning stiffness
Diurnal variation
Aggravating factor
Reliving factors
Associated symptoms like pain etc
Restricted movement
E.g. Difficulty in squatting (osteoarthritis of Knee)
Joint swelling
Onset
Duration
Progression
Joints involved-Large/small
Symmetrical /asymmetrical
Number of joints involved
Involvement of small and large joints
Associated symptoms :fever, jointstiffness, painful movement.
Associated symptoms of other systemic illnesses
Joint deformity
, Joints involved-Large/small
Symmetrical or asymmetrical
Number of joints involved
Restricted movement
Associated symptoms like pain ,fever.
Locking.
Past history.
Similar illness in the past
Any diagnosed joint diseases
Any other diagnosed systemic illnesses
Diabetes mellitus,tuberculosis,other illnesses like gonorrhea,syphilis,pneumonia
etc
Treatment history
Menstrual history (In females)
Marital and obstetric history (Females)
Family history.
Similar illness in the family .
Haemophilia,Tuberculosis,gout,rheumatism etc
Socioeconomic history
Environmental history.
General physical examination.
Orthopedic case proformas
1. Pathological joints/Osteoarthritis
Patient particulars
Name
Age
Gender
Address
Education
Occupation
Date of admission.
Date of examination
Chief complaints:
Pain
Joint Swelling
Joint stiffness
Restricted movement
Deformity.
Joint involved
History of present illness.
Pain
Joints involved-small/Large
Nature of pain
,Joints involved -Symmetrical/Asymmetrical/Fleeting type of Joint pain
Onset
Duration
Progression
Diurnal variation
Aggravating factor
Reliving factors
Joint stiffness
Onset
Duration
Progression
Early morning stiffness
Diurnal variation
Aggravating factor
Reliving factors
Associated symptoms like pain etc
Restricted movement
E.g. Difficulty in squatting (osteoarthritis of Knee)
Joint swelling
Onset
Duration
Progression
Joints involved-Large/small
Symmetrical /asymmetrical
Number of joints involved
Involvement of small and large joints
Associated symptoms :fever, jointstiffness, painful movement.
Associated symptoms of other systemic illnesses
Joint deformity
, Joints involved-Large/small
Symmetrical or asymmetrical
Number of joints involved
Restricted movement
Associated symptoms like pain ,fever.
Locking.
Past history.
Similar illness in the past
Any diagnosed joint diseases
Any other diagnosed systemic illnesses
Diabetes mellitus,tuberculosis,other illnesses like gonorrhea,syphilis,pneumonia
etc
Treatment history
Menstrual history (In females)
Marital and obstetric history (Females)
Family history.
Similar illness in the family .
Haemophilia,Tuberculosis,gout,rheumatism etc
Socioeconomic history
Environmental history.
General physical examination.
