Comprehensive: insomnia, pain in shoulder, visual deficit ...

Pain: Pain in R shoulder, finger joints, knees re: osteoarthritis and muscle weakness. Arthritic-type pain for > 20 years, B/L knee replacement in 1979-1980. Shoulder pain described as throbbing, increases in supine position, at night, limits ROM, decreases when sitting up or laying on L side. Describes finger and knee joint pain as alternating between extreme sharp, stabbing and aching, dull ... ................
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