Question

4.6 Electronic Health Records Orthopedic Clinic Note Subjective Objective Objective Assessment Plan History of Present Illness: Mrs. Maureen Goldman presented to the orthopedic clinic with a chronic history of arthralgia. She was previously diagnosed with osteoarthritis. She was initially treated with NSAIDs and an orthotic that helped for a time; however, Mrs. Goldman's condition worsened and was eventually treated with an intraarticular steroid injection. She reported improved pain and range of motion. The knee pain returned last year, however, and she was treated in our clinic with arthroscopic surgery. While it helped some, she reports it didn't completely get rid of her symptoms, and she returns today for evaluation. PMHx: Septic arthritis requiring hospitalization and IV antibiotics 4 years ago.

          4.6 Electronic Health Records

Orthopedic Clinic Note
Subjective
Objective
Objective
Assessment
Plan
History of Present Illness:
Mrs. Maureen Goldman presented to the orthopedic clinic with a chronic history of arthralgia. She was previously diagnosed with osteoarthritis. She was initially treated with NSAIDs and an orthotic that helped for a time; however, Mrs. Goldman's condition worsened and was eventually treated with an intraarticular steroid injection. She reported improved pain and range of motion. The knee pain returned last year, however, and she was treated in our clinic with arthroscopic surgery. While it helped some, she reports it didn't completely get rid of her symptoms, and she returns today for evaluation.
PMHx: Septic arthritis requiring hospitalization and IV antibiotics 4 years ago.

4.6 Electronic Health Records

Orthopedic Clinic Note
Subjective
Objective
Objective
Assessment
Plan
History of Present Illness:
Mrs. Maureen Goldman presented to the orthopedic clinic with a chronic history of arthralgia. She was previously diagnosed with osteoarthritis. She was initially treated with NSAIDs and an orthotic that helped for a time; however, Mrs. Goldman's condition worsened and was eventually treated with an intraarticular steroid injection. She reported improved pain and range of motion. The knee pain returned last year, however, and she was treated in our clinic with arthroscopic surgery. While it helped some, she reports it didn't completely get rid of her symptoms, and she returns today for evaluation.
PMHx: Septic arthritis requiring hospitalization and IV antibiotics 4 years ago.

Added by Patricia N.

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