Instructions
You are a medical student on placement in general practice. Terence Mulcahy, 71, has right knee osteoarthritis. Despite losing weight, physiotherapy and anti-inflammatories, his pain now wakes him at night. He wants to know whether it is time for a knee replacement.
Perform a focused examination
Explain your findings and the management plan to Mr Mulcahy
- You do not need to take a history
- Please verbalise your examination; findings will be provided on request
Standing knee X-ray
Severe loss of the medial joint space with osteophytes.