Bilateral knee pain & stiffness

Chief complaint 64 y/o female presents with bilateral knee pain, but more on the right side. She also noted mild swelling which is present with pain, and sometimes she had knee stiffness in the morning. History History for right knee pain dated back to 3 years, it has gotten worse over the last 6 months & she also noted similar pain on the left knee. She is obese & has h/o diabetes type II, COPD & CKD. Vitals BP: 155/97 mmhg, Heart rate: 95 Bpm, Respiratory rate: 17 Bpm Investigations She has some stiffness in bothe knees with tenderness on palpation to medial joint lines of both knees, which is more on right side. There is a trace effusion of the right knee, none on the left. Treatment What should be the management for her knee pain?

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Check for RA Titre / S.Uric acid. Osteo arthritis...?/ Gouty Arthritis/ ? Osteoporosis..?

? ARTHROPATHY.. ? OA .. NEED'S.. HEMOGRAM.. RF .. URIC ACID.. SR.. CALCIUM..

Sounds like OA Xray both knee for further planning

POSSIBLY... OSTEO ARTHRITIS WITH EFFUSION.. ADVISABLE... X. RAYS....

Seems like OA both knee X-ray should be done

Rheumatoid Arthritis Give Ayurvedic/Homoeopathic treatment

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