Painful Knee

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Author: Airida Narkute / Editor: Fiona Mendes / Codes: Published: 05/11/2025

A 67-year-old man presents to the Emergency Department (ED) with a painful swollen left knee. He looks systemically unwell, cannot actively move his left knee and does not allow any passive movement either. There is no history of trauma.

Observations:

Oxygen Saturations 90% on room air

Respiratory rate 24 breaths per minute

Heart rate 128 beats per minute

Blood pressure 92/60 mmHg

Temperature 39 degrees Celsius

He is usually independent. He has a background of diabetes, gout and chronic obstructive pulmonary disease (COPD).

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