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I can hardly understand this ortho resident.
Hx: Morbidly obese patient with severe osteo in both knees, failed steroid inj, next step Supartz. He is examining her legs and says that range of movement is restricted due to pain. He then goes on to say There is (s/l raising/racing/razing) of quadriceps muscle seen. She does have tenderness in her knees in both medial and patellofemoral joint lines.
Any ideas? I'm ready to buy this doc a plane ticket and ship him back to wherever he came from.
Thanks so much in advance!