Basic Information

Patient name: T. C.
Age: 38 years old
Gender: Female
Occupation: General Nurse

Medical History

Anamnesis: 38-year-old patient presents for HBOT evaluation with personal history of bone edema at the tibial plateau, with fine fracture lines at the internal extremity post-traumatic.
Family history: None known.

CLINICAL PRESENTATION:

Symptoms: knee pain, reduced mobility
Duration: 2 months
Aggravating factors: None.
Alleviating factors: None.

Treatment History:

Current medications: No chronic medication.
Previous treatments: Anti-inflammatory in the acute phase, then only as needed.

Investigations:

Results: Knee MRI.
Diagnosis: Tibial bone edema.

Treatment Plan:

Recommended medication: Nonsteroidal anti-inflammatory drugs as needed.
Therapeutic interventions: 40 sessions of hyperbaric therapy.

EVOLUTION AND PROGNOSIS:

Evolution: Favorable, the patient reports an improvement in pain during the first sessions, followed by increased mobility and total healing confirmed by imaging (MRI).
Prognosis: Complete healing.

FINAL OBSERVATIONS:

Reassessment recommended as needed.