Chief Complaint And History Of Present Illness

The patient is a 55-year-old man with a longstanding history of ulcerative colitis. His acute episodes have been treated with highdose steroids. Recently, he has developed severe right knee weight-bearing discomfort. He also has pain at rest and at night. The joint pain is confined to his right knee only. He denies generalized malaise, fever, or erythema of the knee joint. Antiinflammatory medications and corticosteroid injections have not helped. He is unable to walk without the use of a cane.

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