,MUSCULOSKELETAL:  Examination shows good range of motion with no swelling or tenderness in any of her joints of the upper extremities, but she does have minus/plus swelling of her knees with flexion contracture bilaterally on both.
,MUSCULOSKELETAL : Examination shows good range of motion with no swelling or tenderness in any of her joints of the upper extremities , but she does have minus / plus swelling of her knees with flexion contracture bilaterally on both .