iHuman Robert Jones Elective total right knee arthroplasty case
Case: Robert Jones
52 y/o
Reason for encounter
Elective total right knee arthroplasty.
Get all the history questions, physical exam, and complete EHR documentation.
Robert Jones, a 50 yrs old patient with total right knee arthroplasty due to chronic osteoarthritis.
Category
Details
Demographics
Name: Robert Jones
Age: 50 years
Sex: Not specified
Medical History
Chronic osteoarthritis, particularly severe in the right knee
Surgical History
Total right knee arthroplasty
Current Medications
Pain management medications (e.g., NSAIDs, opioids)
Possible medications for managing osteoarthritis symptoms (e.g., corticosteroids)
Laboratory Results
Possible elevated inflammatory markers (e.g., ESR, CRP)
Normal kidney and liver function tests (important for medication metabolism)
Imaging Studies
Pre-operative imaging showing severe osteoarthritis in the right knee
Post-operative imaging confirming successful placement of the knee prosthesis
Physical Therapy Notes
Progress in mobility and strength post-surgery
Any complications or difficulties in recovery
Follow-Up Appointments
Regular follow-ups with the orthopedic surgeon
Appointments with a physical therapist for rehabilitation
Directions: Review the iHuman Orientation Assignment directions in Canvas. As you progress through the Robert Jones iHuman Patient Encounter Practice Case, complete the iHuman Orientation Worksheet by finding the relevant information in the electronic health record (EHR), history, and physical. The information you collect on this worksheet will assist you in completing the iHuman Orientation assignment. The worksheet will not be submitted.
1) Key findings from Robert Jones’s EHR: Admitting Notes (Health Care Provider)
What is Mr. Jones’s Reason for the Encounter? Worsening pain over the last couple months despite being on pain medication. Pain awakes from sleep. Been sleeping in recliner most day due to pain. Was seen three days ago in surgeons’ office for pre op check in, labs and ECG
What is Mr. Jones’s age? 52 years old
What is Mr. Jones’s allergy? Shellfish
Does Mr. Jones have children? 29-year-old son
2) Key findings from Robert Jones’s EHR: Labs and Imaging/ECG
What is Mr. Jones’s blood type and screen? AB negative
Are there abnormal findings in the complete blood count? No abnormal findings.
What are Mr. Jones’s prothrombin time (PT) results? 15
What was Mr. Jones’s sodium? 135
3) Key findings during the Robert Jones’s health history
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