**Joint Injection / Procedure**
**Presenting Complaint**
Patient presents for a right knee joint injection due to osteoarthritis. The patient reports a dull ache in the right knee for the past six months, which is worse with activity and improves with rest. Previous treatments include over-the-counter pain relievers, which provided minimal relief.
---
**History**
The patient reports the pain has been present for six months, with increasing intensity over the last month. They have tried ibuprofen and paracetamol, with limited success. The patient is not on any blood thinners. The patient's goal is to improve mobility and reduce pain to allow for daily activities.
---
**Examination**
Examination revealed mild swelling and tenderness to palpation over the medial joint line. Range of motion is limited due to pain. No redness or signs of infection were noted.
---
**Consent & Preparation**
Informed consent was obtained. The risks and benefits of the injection, including infection, bleeding, post-injection flare, and failure to improve, were explained. The area was cleaned and prepared using aseptic technique.
---
**Procedure**
**Joint injected:** Right knee
**Approach:** Medial
**Preparation:** Aseptic technique used.
**Anaesthetic:** 1% lidocaine, 2ml
**Steroid used:** 40 mg triamcinolone acetonide
**Needle:** 22 gauge, 1.5 inch
**Outcome:** Tolerated well, no complications.
---
**Post-Procedure Advice**
The patient was advised to rest the joint for 24 hours and avoid heavy activity for 48 hours. They were warned about a possible mild post-injection flare and advised to report any redness, swelling, fever, or persistent pain.
---
**Plan / Follow-Up**
Review in 4 weeks. If no improvement, consider further investigation. If effective, repeat injection in 3 months if needed.
**Joint Injection / Procedure**
**Presenting Complaint**
[Patient presents for joint injection, specify joint and indication such as osteoarthritis, bursitis, or trigger finger. Note symptoms, duration, and previous response to injection if applicable.]
(Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
---
**History**
[Include relevant background such as duration and pattern of pain or swelling, previous joint injections or physiotherapy, current medications (e.g. anticoagulants, steroids), and functional impact or patient goals.]
(Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
---
**Examination**
[Document local findings such as swelling, tenderness, warmth, and range of motion. Note absence of redness or infection if mentioned.]
(Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
---
**Consent & Preparation**
[Document that consent was obtained and that risks and benefits (infection, bleeding, post-injection flare, skin changes, failure to improve) were explained. Record that the area was cleaned and prepared using aseptic technique.]
(Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
---
**Procedure**
**Joint injected:** [Specify joint injected] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
**Approach:** [Specify anatomical approach, e.g. lateral / medial / posterior] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
**Preparation:** [Record preparation method, e.g. aseptic technique used] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
**Anaesthetic:** [Record anaesthetic agent and volume, e.g. 1% lidocaine, volume] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
**Steroid used:** [Record steroid type and dose, e.g. 40 mg triamcinolone acetonide / 40 mg methylprednisolone acetate] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
**Needle:** [Record needle gauge and length] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
**Outcome:** [Describe outcome, e.g. tolerated well, no complications] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
---
**Post-Procedure Advice**
[Record advice given, such as resting the joint for 24 hours, avoiding heavy activity for 48 hours, warning about possible mild post-injection flare, and advising to report redness, swelling, fever, or persistent pain.]
(Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
---
**Plan / Follow-Up**
[Record follow-up or next steps, such as review if no improvement after specified duration, physiotherapy referral, or further injection if effective after at least 3 months.]
(Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.)
---
(For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, consent status, procedure details, medications, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)