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Osteoarthritis Diagnosis and TKR Plan

Kadek Asri, a 58-year-old female, has been experiencing pain in her left knee for the past 7 months and in her right knee for 2 months, diagnosed with bilateral osteoarthritis (OA) by an orthopedic surgeon. She has a history of taking analgesics but denies any past trauma or other significant medical conditions. The recommended treatment plan includes a right total knee replacement (TKR).

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Krishna Caitanya
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41 views7 pages

Osteoarthritis Diagnosis and TKR Plan

Kadek Asri, a 58-year-old female, has been experiencing pain in her left knee for the past 7 months and in her right knee for 2 months, diagnosed with bilateral osteoarthritis (OA) by an orthopedic surgeon. She has a history of taking analgesics but denies any past trauma or other significant medical conditions. The recommended treatment plan includes a right total knee replacement (TKR).

Uploaded by

Krishna Caitanya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

IDENTITY

Name : Kadek Asri 21051782


Sex : Female
Age : 58 y.o.
CM : 21051782
Address :-
Phone : 087860085666
Insurance : BPJS
Admitted :-
Ward :-
History
Chief Complain
Pain on left knee

Present History
• Patient complained pain on her left knee since last 7 months (February 2021), The pain
felt more worse when patient was walking and relieved when patient resting.
• Pain on right knee appeared since 2 months ago (July 2021)
• Patient was reffered from Parama Sidhi Hospital by Ortopedic surgeon with diagnosis OA
knee Bilateral

Past History
• History of taking analgesics since 7 months ago, but patient forgot the name of the
medicine
• History of trauma (-)
• History of physiotherapy (-)
• DM and hypertension was denied

Social History
Patient work as a fruit seller at the market
Refferal Letter
Left Knee Region:
L : Swelling (-), Deformity (+) Varus 15 deegree, Bruise (-)
F : Tenderness (-), dorsalis pedis artery (+) palpabe, SpO2 99%, normal sensation
M : Active ROM Knee 0/100
Active ROM Ankle 20/50
Active ROM MCP-IP 0/90
Right Knee Region:
L : Swelling (-), Deformity (+) Varus 5 degree, Bruise (-)
F : Tenderness (-), dorsalis pedis artery (+) palpabe, SpO2 99%, normal sensation
M : Active ROM Knee 0/90
Active ROM Ankle 20/50
Active ROM MCP-IP 0/90
Diagnosis:
OA Right Knee Kellgreen and Lawrence Grade IV
OA Left Knee Kellgreen and Lawrence Grade IV

Planning:
Right TKR

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