The core complains by the patient is that he has been experiencing gloomy pain at the knees. The pain is conveyed by clicking on the two knees and also a contagious sensation which occurs under the patella (Health Line, 2017). Some questions require answers to establish the intensity or the severeness of the pain, such as the specific part from which the pain comes, the aspects of the pain and any linked symptoms or aggravating forces. Also, it is vital to ask if there exist releasing forces and the previous treatments and reason for discontinuing.
After answering the above questions, it is essential to understand the history of the pain. According to the patient, the pain started three days ago, and the pain comes hand in hand with clicking in the two knees and also a contagious sensation which occurs under the patella (WebMD, 2017). Also, it will be essential to know the kind of medication the patient has been taking, and according to the patient, the medicine he has been taking is ibuprofen once the pain symptoms begin and aspiring at night. Furthermore, to know if allergies cause the disease, it is vital to know if he is subject to any allergy, and according to him, he has no allergies (Sullivan, 2012).
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After analyzing the patient's history, it is important to carry out some imagery tests to know what is the problem (Seidel et al., 2011). The first is the chest x-ray to check if there are any abnormalities. The second is the cardiac test to measure the heart fineness, rhythm, and heart rate, and the last one is the manual muscle testing (Ball et al., 2015).
Different Diagnosis
To know what the patient is ailing from, it is crucial to consider various diagnoses. First, the patellar dislocation is a crucial diagnosis to put in mind and is effectual when the knee patella shifts from its usual point. According to Ball et al. (2015), the shifts come with much pain at the patella. Also, the condition causes the knee to misalign, swell, and become tender. Since the patient has the above-said symptoms, this will be the first diagnosis.
Second, patellar chondromalacia is a significant diagnosis in the given scenario and is essentially a situation where an injury causes the cartilage that is found at the kneecap. As a result of this, the patient experiences inner pain, which comes from extended rest or physical practices (Medscape, 2016). Since the patient is in sports, it means that he is physically active, causing pain at the knee. This, therefore, is the second diagnosis.
The other diagnosis is bursitis. The condition has a significant impact on the fluid-filled sacs that are found near the knee. According to Dains et al., (2016), the symptoms include knee pain, tenderness, warmth, and edema. However, the patient does not have all the symptoms making the diagnosis not substantial.
Further, it is crucial to consider patellar tendonitis. It is because the patient suffers from knee pain when he or she works a lot and also tenderness at the patella place. All of this is due to overuse of the knee. According to the symptoms of the patient, the diagnosis is not essential (Mediscape, 2016).
Additionally, patella fracture is another condition to diagnose. The patient must suffer from cracking and breakage. As a result, the patient suffers from bruising at the knee, swelling, and pain and insofar as comparing the symptoms goes, the diagnosis is null and void.
Plan for the Patella Dislocation
After confirming that the patient suffers from this condition, it is vital to consider a reduction to restructure kneecap back into its usual place. Also, take pain medicine like acetaminophen to relieve pain. Also, consider aspiration to remove the fluid and blood from the knee. Further, as far as the plan for patellar Chondromalacia is concerned, the patient should consider to rest the knee, ice the knee, wrap the knee, take pain relievers, and do activities that strengthen the knee.
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Health Line. (Febuary 15, 2017). Knee pain: Causes, Symptoms and Diagnosis. Retrieved on April 17, 2017 from http://www.healthline.com/health/pain-relief/knee-pain-stairs#Prevention5.
Medscape. (2016). Knee pain. Retrieved on April 17, 2017 from http://www.medscape.com/
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for musculoskeletal assessment . In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
WebMD. (n. d). Runner’s Knee. Retrived on April 17, 2017 from http://www.webmd.com/pain- management/knee-pain/runners-knee#2-3
