Case Assignment: Anterolateral Hip
Case Assignment: Anterolateral Hip
Case Assignment: Anterolateral Hip
NR601 Week 4.1 Discussion Part One (graded) Mrs. R. is a 66-year-old Caucasian female who presents to the clinic with pain in her left hip that worsens with walking, bending, standing, and squatting. When asked to describe where the pain occurs, she places her fingers around the anterolateral hip region. She denies any back pain, or pain in the posterior hip or along the lateral thigh. Denies any previous injury, stumbling, tripping or falling. She states that the pain has been getting gradually worse and is almost constant if she walks or stands for a long period of time. She denies back pain, numbness, tingling, or weakness in the extremities. She reports taking Ibuprofen 800 mg approximately 3 times/week whenever she has significant hip pain. She is concerned that she doesn’t know what is causing the pain and that she is having to take increased doses of ibuprofen to manage the pain. She reports a current pain level of 8/10 on the pain scale. Background Information She walks approximately 1 mile a day. She recently retired as an office manager 4 years ago. PMH Unremarkable Immunizations All vaccines are current Screenings Never had a colonoscopy Last mammogram was 5 years ago Social History Has an occasional glass of wine with dinner Does not smoke Surgical history Cholecystectomy 20 years ago Hysterectomy 10 years ago Current Medications Ibuprofen 200-800 mg prn for hip pain Discussion Questions Part One What risk factors does this patient have that might contribute to her hip pain? What ROS would you conduct on this patient? What is your primary diagnosis? What evidence-based resource and patient data supports this diagnosis? What two differential diagnoses are appropriate in this patient’s case? What evidence-based resource and patient data supports these two differential diagnoses? What screening would you choose to best evaluate this patient’s chief complaint?
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