More Stiffness

Musculoskeletal System


Step 1: View Clinicals

{"ops":[{"insert":"A 65 year old lady presents with worsening pain in both knees for 3 years.\n\nShe is unable to walk for more than half an hour at a stretch because of the pain, which is exacerbated by kneeling, squatting, or descending the stairs.\n\nBoth knees are stiff for around 20 minutes after waking up; the stiffness as well as the pain are relieved by resting.\n\nThere is no history of pain, stiffness or restriction of hand movements. Her medical and drug histories are unremarkable.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-177_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. ESR & CRP
2. X-Ray B/L Knee Joints
3. MRI B/L Knee Joints
4. Rheumatoid Factor Assay

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