What are two differential diagnoses appropriate in this patient’s case?
What are two differential diagnoses appropriate in this patient’s case?
What are two differential diagnoses appropriate in this patient’s case?
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 todescribe 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 lateralthigh. 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 fora long period of time. She denies back pain, numbness, tingling, or weakness in the extremities. She reports taking Ibuprofen 800 mg approximately 3 times/weekwhenever 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 tomanage the pain. She reports a current pain level of 8/10 on the pain scale.Background InformationShe walks approximately 1 mile a day. She recently retired as an office manager 4 years ago.PMHUnremarkableImmunizationsAll vaccines are currentScreeningsNever had a colonoscopyLast mammogram was 5 years agoSocial HistoryHas an occasional glass of wine with dinnerDoes not smokeSurgical historyCholecystectomy 20 years agoHysterectomy 10 years agoCurrent MedicationsIbuprofen 200-800 mg prn for hip painDiscussion Questions Part OneWhat 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 are two differential diagnoses 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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