IHUMAN CYRUS HORTON CASE STUDY 57 YEAR
OLD WITH ACUTE LEFT KNEE PAIN FOR 2 DAYS
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iHuman Case Study: Cyrus Horton
Patient Information
• Name: Cyrus Horton
• Age: 57
• Gender: Male
Chief Complaint
• Acute left knee pain for 2 days
History of Present Illness (HPI)
Cyrus Horton is a 57-year-old male who presents with acute pain in his left knee that started 2 days ago. The pain began suddenly while he was climbing stairs and has been persistent since. The pain is described as sharp and severe, with a rating of 8 out of 10 on the pain scale. It is localized to the medial aspect of the knee and is aggravated by weight-bearing and movement. Resting provides some relief, but the pain remains constant. There is noticeable swelling and stiffness in the knee, and he has difficulty bending and straightening it.
Additional Symptoms:
• No redness or warmth over the knee
• No locking or giving way of the knee • No recent trauma or injury reported • No fever or systemic symptoms
Past Medical History (PMH)
• Hypertension (well-controlled with medication) • Hyperlipidemia • Type 2 Diabetes Mellitus (controlled with diet and medication) • Osteoarthritis in the hands and lower back
Surgical History
• Appendectomy at age 22 • Right knee arthroscopy 5 years ago for a meniscal tear
Medications
• Lisinopril 20 mg daily • Atorvastatin 40 mg daily • Metformin 500 mg twice daily • Ibuprofen 400 mg as needed for pain
Allergies
• No known drug allergies
Family History
• Father: Deceased at 75 (Myocardial Infarction)
• Mother: Alive at 80 (Hypertension, Osteoarthritis)
• Siblings: Brother with Type 2 Diabetes
Social History
• Occupation: Accountant
• Lives with wife; two adult children