Now he has increased pain to his bilateral knees and ankles which has been going on for 2 weeks. He has had no injuries. Medical hx - <span style = 'background-color: #dae8f4'>gout</span>
, HTN, hyperlipidemia, Osteoarthritis. Meds - Atenolo, Guanfacine, lipitor
, Lisinopril, Skelaxin, & Verapamil. On exam, his VS are stable. Lungs and heart WNL. Musk - no redness to knees or ankles, slight swelling to L knee, good pedal pulses, hypersensitive to touch with palpation of all joints, gait is guarded and slow.