Mrs. C., retired cook

• 69-year-old active retiree
  
• Old right knee injury from skiing in her 20s
  
• Obese all her life
  
• Type II diabetic for last seven years
  
• High blood pressure diagnosed five years ago
• Pain in right knee for past two weeks
  

Current medications:

• metformin 500 mg bid
  
• amlodipine 5 mg od
  
• ramipril 10 mg od
  
• ibuprofen 200-400 mg q4-6-h prn.
• atorvastatin 10 mg od.
  

next: exam