Concluded Case

conclusion

Degenerative OA , synovial fluid accumulation ...... Age 72,male , HTN, H/O congestive heart failure , complete RBBB, hyperkalemia , creatine 1.5 .... Treatment of OA ?

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acute Degenerative osteo arthritis of both knee joints ...

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Better xray should have posted Aspirate is bloodstained send for lab analysis He is a c/o chf with hyperkalamia and RBBB and mild increase of sr creatinine Rx for OA Cap indomethacin 25mg 1tds Tab eterocoxib+thiocholchisone 8mg 1bd Knee brace Antibiotics like ciprofloxacin Sos inj kenacort intra articular If OA is 4th gr suggest TKR

Synovial fluid analysis Xray evaluation Coagulation profile Reassess after reports

acute Degenerative osteo arthritis of both knee joints ...

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