Hip Patient Presentation in GP Flashcards
What do patients present with to their GP
Pain/ discomfort Referred pain Night pain / insomnia Exercise related pain Stiffness
What are some of the things that patients are no longer able to do by the time of presentation
Walk distances
play sport
go up and down stairs
put on socks/ shoes
What do patients want from their GP
Relief of pain
Restoration of function
Reassurance
Referral
What does a GP do initially
History Physical examination Investigate Options of diagnosis management
What should you look for in the hip
Deformity
asymmetry
Scars
What do you feel for in the hip
Swelling
bony landmarks
tenderness
heat
What do you find in movement
Range of movement
stiffness
pain on moving
When should you Xray
Only if it will affect your management
What are some of the factors that affect when you refer a patient
Pain - esp at night Loss of function physical fitness mental fitness support at home patient expectations age of patient uncertain about diagnosis
What are some of the common causes of hip pain
OA RA Fracture Referred pain from back Malignancy
What are some of the rarer causes of hip pain
Paget’s disease
Infection
Avascular necrosis
Soft tissue
