Examination revealed a slightly swollen joint

and a tender
Examination revealed a slightly swollen joint
spot on medial aspect of it.
and a tender
Explanation: Here the writer is referring to a
spot on the medial aspect of it.
specific region, i.e not
the anterior aspect but the medial aspect.
Based on above information, I believe the
patient needs
urgent admission to hospital.
Explanation: Here the writer is referring to a
specific information,
i.e not the information on the medical chart
but the information
written above.