case presentation on osteoarthritis condition.

1. OSTEOARTHRITIS.
OSTEOARTHRITIS: A TYPE OF ARTHRITIS
CAUSED BY INFLAMMATION, BREAKDOWN,
AND EVENTUAL LOSS OF CARTILAGE IN
THE JOINTS. ALSO KNOWN AS
DEGENERATIVE ARTHRITIS.

2. PATIENT DETAILS:
Name : XXX
Age: 64yrs
Sex: Female
DOA: 09-01-18
DOD:12-01-18
IP NO:2638

3. SUBJECTIVE:
REASON FOR ADMISSION
Pain & swelling on the knee for the last 5 years difficulty in bending and walking
upstairs.
SOCIAL HISTORY
 Alcoholic : N
 Tobacco: N
 Allergies: Nil
PAST MEDICAL HISTORY
 No information regarding past medical history

4. OBJECTIVE:
 Mild swelling in knees
 Crepitus
 Patellar tap
 Blood count

5. ASSESSMENT:
 OSTEOARTHRITIS.

6. TREATMENT
(DRUGS PRESCRIBED):
SR.No Brand Name Generic Name Dose D₁ D₂ D₃ D₄
1 Inj. Voveran Diclofenac sodium 1amp BD √ √ √ √
2 Tab. Chymoral Forte Trypsin + Chymotrypsin 250mg TID √ √ √ √
3 Inj. Xylopan Pantoprazole 40mg IV BD √ √ √ √
4 Inj. Mepresso D Methyl prednisolone 10-40 mg
IV TID
√ √ √
5 Inj. Hyaluronan Sodium Hyaluronate 1%OD √

7. DISCHARGE MEDICATIONS:
1. TAB. Chymoral FORTE
2. TAB. PREDNISOLON
3. TAB. PAN BRO
FOLLOW UP
Review after 15 days

8. NON PHARMACOLOGICAL
TREATMENT:
 Proper education of patient
 Physiotherapy
 Exercise
 TENS
 Surgery

9. ALTERNATIVE THERAPY:
ANALGESICS
e.g.; Acetaminophen 2.4-4mg/day
NSAID’S
e.g.; Naproxen250-500mg
TOPICAL THERAPY
e.g.; Capsaicin
Topical NSAID’S
GLUCOSAMINE & CHONDROITIN
e.g.; glucosamine 1500 mg/day
CORTICOSTEROIDS
e.g.; methylprednisolone 20-40mg
HYALURONATE INJ
e.g.; supantz 25mg/2.5ml

10. DRUG INTERACTION:
 DICLOFENAC + PREDNISOLONE :
enhances the adverse effects of diclofenac

11. Points to physician:
 Discuss the condition & treatment given
 Assess adherence to regimen
 Joint aspiration, x-ray, can be done for better diagnosis

12. Points to patient:
 Avoid purine reach foods
 Increase the water intake

13. THANK YOU.