IHUMAN CASE STUDY: CYRUS HORTON – A 57-YEAR-OLD MALE WITH ACUTE LEFT KNEE PAIN: DIFFERENTIAL DIAGNOSIS AND MANAGEMENT OF ACUTE GOUTY ARTHRITIS

IHUMAN CASE STUDY: CYRUS HORTON – A 57-YEAR-OLD
MALE WITH ACUTE LEFT KNEE PAIN: DIFFERENTIAL
DIAGNOSIS AND MANAGEMENT OF ACUTE GOUTY
ARTHRITIS




PART 1: PATIENT BIO DATA & INITIAL DATA GATHERING

Category Details

Name Cyrus Horton

Age 57 years old

Gender Male

Ethnicity [To be specified in case]

Occupation Not specified (likely employed/active)

Height [To be specified]

Weight [To be specified]

BMI [To be calculated]

Source Patient (self)

Reliability Reliable, alert, and able to provide clear history

,Category Details

Allergies No Known Drug Allergies (NKDA) – confirm

Chief Complaint: "My left knee has been hurting for the
past 2 days." / "Acute left knee pain for 2 days"
Encounter Type: Outpatient clinic or Urgent Care visit

PART 2: PAST MEDICAL HISTORY (PMH)

Condition Details Relevance

Cardiovascular risk;
Hypertension [Duration, control]
medication effects

[Type, duration, Neuropathy, infection
Diabetes Mellitus
control] risk, gout risk

[Duration,
Hyperlipidemia Cardiovascular risk
treatment]

CRITICAL – acute
Gout Prior diagnosis? monoarthritis, especiall
1st MTP or knee

Pseudogout Acute monoarthritis in
Prior diagnosis?
(CPPD) elderly

Chronic knee pain, acut
Osteoarthritis Prior diagnosis?
exacerbation

, Condition Details Relevance

Rheumatoid Autoimmune,
Prior diagnosis?
Arthritis polyarticular

Trauma, meniscal
Previous knee
tear, ACL, knee Acute on chronic
injury/surgery
replacement

Bleeding Hemophilia,
Hemarthrosis risk
disorders anticoagulation

Psoriatic, reactive,
Inflammatory Mono/oligoarticular
ankylosing
arthritis arthritis
spondylitis

Key Questions:
 Any prior diagnosis of gout or pseudogout?
 Any prior knee injuries or surgeries?
 Any history of osteoarthritis?
 Any history of bleeding disorders or blood thinners?

PART 3: PAST SURGICAL HISTORY (PSH)

Surgery Year Details

Knee surgery Arthroscopy, meniscectomy, replacemen

Other surgeries

, Key Question: Any prior knee surgeries?

PART 4: MEDICATIONS

Current Medications

Do Freque Prescri
Medication Purpose
se ncy ber

Antihypertensiv
es

Diuretics Gout risk
(thiazides, loop) factor

Statins

Antidiabetics

NSAIDs PRN Self Pain relief

Cardiovas
Aspirin cular
prevention

Bleeding
Warfarin/anticoa
risk into
gulants
joint

Allopurinol/febu Gout
xostat prevention