The most appropriate step to manage the patient's symptoms as mentioned in question is Quadriceps strengthening exercises.
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What is quadriceps?</h2>
The Quadriceps femoris is one of the largest and most powerful muscle of the human body. The quadriceps femoris is both a hip flexor and a knee extensor. It is made up of four individual muscles; the rectus femoris, and three vastus muscles. They are one of the strongest muscles in the body and make up the majority of the thigh.
Anterior knee discomfort in young women is frequently caused by patellofemoral pain syndrome. Usually, chronic usage or misalignment is at blame for such discomfort. A patellofemoral compression test can simulate the discomfort. Exercises for stretching and strengthening of quadriceps are part of the initial therapy, along with activity modification and non-steroidal anti-inflammatory medications.
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an airbound virus or disease or a nasty dirty infection
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There is a low probability that a future pregnancy would exhibit similar phenotypes since it probably was a germinative line mutation that affected that egg.
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The malformations of the unborn child, probably are due to a mutation in the germ cell of any or both parents. Germline mutations are detectable changes in a sperm or egg that we can see when the fetus is growing, as malformations since the original germ cell that was mutated divided itself to give more mutated cells for all the different parts of the fetus.