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45 yo F presents with ongoing cough and fatigue for the last two weeks. No notable past medical history related to this condition. Examination shows normal vital signs: T 36.8°C, Sats 98%, HR 72 bpm, BP 120/80 mmHg, RR 16 breaths/min. Chest examination reveals clear lung fields without wheezing or crackles. Probable diagnosis is viral upper respiratory tract infection. Differential diagnosis includes bacterial bronchitis.
Patient also reports knee pain worsened by physical activity. History of mild osteoarthritis diagnosed two years ago. Knee examination shows mild swelling and tenderness over the medial joint line. No signs of effusion or instability. Probable diagnosis is osteoarthritis flare-up.
Impression: Viral upper respiratory tract infection and osteoarthritis flare-up.
Plan: Advised rest and increased fluid intake for the viral infection. Recommended paracetamol for pain management. Discussed lifestyle modifications including weight management and low-impact exercises for osteoarthritis. No further investigations required at this time. Follow-up in two weeks if symptoms persist or worsen. Safety netting advice provided regarding signs of worsening infection or severe knee pain.