History - Joint pain

From CambridgeNotes

History of Presenting Complaint

  • Timing: onset, duration, frequency, and progression
  • Location: small versus large joints; does it move?
  • Quality including severity
  • Exacerbating and relieving factors: how is pain in morning after rest or evening after exercise?
  • Associated symptoms: swelling, redness, heat, bruising
  • Other symptoms: constitutional symptoms, red eye, oral or genital ulcers, diarrhoea, dysuria, rash, focal numbness or weakness
  • Recent trauma? (especially knee)
    • How did the injury occur? lateral force associate with "unhappy triad" of anterior cruciate, medial meniscus and medial collateral ligaments
    • Time course of symptoms? immediate swelling is blood while late is inflammation
    • Could they move immediately after injury?
    • Pop sound (tear), or locking (loose body)

Past Medical History

Drug and Allergy

  • Diuretics (thiazide diuretics)
  • Steroids (prednisone)

Family History

  • Rheumatic disease

Personal and Social History