[doctor] so sophia i see that you you hurt your knee tell me about what happened
[patient] yeah i was jumping on my kid's trampoline and i could just slipped out from under me
[doctor] my gosh one of those big trampolines in your back yard
[patient] yeah a pretty big one
[doctor] okay which knee was it
[patient] my right knee
[doctor] right knee okay and when did this happen
[patient] about four days ago
[doctor] great the weather was perfect this weekend so i'm glad you at least got outside sorry to hear you got hurt okay so your right knee did you did you feel it like pop or or snap or anything when you hurt it
[patient] yeah i felt a little pop and then it swelled up really big afterward
[doctor] okay did you try anything for the pain
[patient] i took some ibuprofen and i put some ice on it
[doctor] okay did that help
[patient] a little bit but it's still really hard to get around
[doctor] alright and have you have you been able to stand on it or does that hurt too much
[patient] it hurts quite a bit to stand but i am able to put weight on it
[doctor] okay alright and what part of the knee is it inside outside middle
[patient] kind of that inside part of my kneecap
[doctor] okay alright and okay so as long as you're here and then your primary care physician i'm looking through your chart and it looks like we're treating your diabetes so how you've been doing with your your diet overall are you are you keeping your sugars low
[patient] it's going okay i i forget to check quite a bit though
[doctor] sure
[patient] on it
[doctor] yeah i understand how has your diet been lately
[patient] it's been pretty good
[doctor] okay okay good good you know it's hard to stay away from the sugary foods sometimes i i enjoy ice cream regularly okay so let's do physical exam as long as you are here so i'm just gon na listen to your heart your heart sounds normal no murmurs or gallops listen to your lungs quick if you can take a deep breath lungs are clear that's good news let's take a look at that knee right knee looks like it definitely has some swelling i'm gon na do some maneuvers here does it hurt when i push you on the inside of the knee
[patient] yeah that hurts
[doctor] okay how about the outside
[patient] a little bit but not as much
[doctor] okay so some pain on palpation on the inside little bit of pain on the outside of the knee if i bend the knee back does that hurt
[patient] yeah
[doctor] how about when i extend it
[patient] yeah that hurts
[doctor] okay so little bit of limited range of motion as well as pain on both flexion and extension on the knee i'm gon na push on this a little bit looks like your mcmurray's test is negative just checking for a meniscus tear okay so let's talk a little bit about your plan what i am concerned about for your knee is it sounds like you have a torn or injured mcl i it's that inside tendon in your knee so i'm concerned about that since you're having trouble with weightbearing and you heard that pop so what i'm gon na do is i'm gon na put you in a straight leg brace and i'll prescribe some mobic you can start taking that as a a pain reliever and to try to get some of the swelling down i want you to ice your knee once an hour for about fifteen minutes but i'm also gon na send you out for an mri because we wan na make sure this is what happens see if there's any other damage to the knee does that sound good
[patient] yeah that sounds great thank you
[doctor] yeah and then for your diabetes as long as you're here it sounds like you're managing that pretty well but i do wan na get a recheck on your hemoglobin a1c and then i'm also i'm going to get a refill on the metformin that you have been taking five hundred milligrams so you can keep taking that as well so do you have any other questions for me
[patient] no that's it thanks
[doctor] alright well thank you hope that you feel better

Medical orders:
description: metformin five hundred
order_type: medication
reason: diabetes
description: milligrams
order_type: medication
description: mobic
order_type: medication
reason: ight knee torn or injured mcl
description: mri
order_type: imaging
reason: ight knee see if there's any other damage to the knee
description: mri
order_type: imaging
description: hemoglobin a1c
order_type: lab
reason: diabetes