Patient presentation- hip Flashcards
1
Q
With regards to hip pain what do most patients present to their GP with
A
Pain/discomfort referred pain night pain/ insomnia exercise related pain stiffness
2
Q
What is it important to look for in terms of physical exam
A
deformity
asymmetry
scars
3
Q
What is it important to feel for in terms of physical exam?
A
swelling
bony landmarks
tenderness
heat
4
Q
What is is important to assess when moving the joints
A
range of movement
stiffness
pain on moving
5
Q
What investigations are possible?
A
X-ray (only if it will affect management)
6
Q
What factors affect when to refer??
A
Pain (esp night pain) LOF physical fitness mental fitness support at home patient expectations age of patient uncertain about diagnosis
7
Q
What management can be used when it comes to Hip pain?
A
education wt reduction home adaptations (OCC therapy) walking stick analgesia NSAIDs physio complementary medicines mobility allowance, disability badge for car
8
Q
What are the common causes of hip pain?
A
osteoarthritis RA and other arthridites e.g. AS fracture referred from back malignancy
9
Q
What are the rarer causes of hip pain?
A
Soft tissue
paget’s disease
infection e.g. septic,TB
Avascular necrosis
