Reference no: EM133689458

Question

Osteoarthritis flare ups in both knees History: Patient is here today with continued pain in both knees due osteoarthritis. The left knee bothers her a more that her right knee. She has been having this issue for over a year. She is requesting a steroid injection. She uses one over-the-counter ibuprofen daily. No weakness or numbness. Exam: Weight is 167 Lbs. Blood pressure is 118/60 Pulse is 72 beats/min. There is some pain but not in distress. There is crepitus at the knees with some tenderness with flexion and extension of the knees which is mildly noted today. No effusion is clearly noted. No warmth of the knees noted. There are some flexion contractures of the fingers as noted before. Elbow flexion contracture noted on the left side. Assessment: As above with what appears to be continued progression of primary osteoarthritis of the knees. Prescription of Celebrex given. Note given for work today as well. What is the overall E/M for this office visit?