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other details:
 

J., a 27-year-old musician

  • Married
  • Fever (39ºC) for past two days
  • Healthy in the past and rarely goes to a doctor
  • For three days, with no history of trauma, his right knee has been getting progressively more painful and affecting his sleep
  • He went to emergency yesterday and had an x-ray, which was normal
  • He has been taking TYLENOL*(acetaminophen) with codeine as directed by the doctor at the hospital
  • Has come to see his family doctor because he is not getting any better.

On specific questioning:

  • J. recalls an episode of unprotected sex about 10 days ago while he was out of town
  • He had some urethral irritation for a few days but it went away and he forgot about it.

 

next: exam

 





 
  The lecture on Clinical Diagnosis provides more information on key steps in making a diagnosis. Slides 1, 2, 5, 6, 9 and 10 are of particular relevance to this case.
Clinical Diagnosis Lecture
 
A thorough history and complete physical exam required
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