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 doesnâ€™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
She walks approximately 1 mile a day. She recently retired
as an office manager 4 years ago.
All vaccines are current
Never had a colonoscopy
Last mammogram was 5 years ago
Has an occasional glass of wine with dinner
Does not smoke
Cholecystectomy 20 years ago
Hysterectomy 10 years ago
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
patientâ€™s case? What evidence-based resource and patient data supports these
two differential diagnoses?
What screening would you choose to best evaluate this
patientâ€™s chief complaint?