Case: Robert Jones
52 y/o
Reason for encounter
Elective total right knee arthroplasty.
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
