Check how your note looks!

Hip Injury

Age:  years old

Gender: 



HISTORY:

Presents with a  hip pain following an injury   ago

Mechanism of injury:  

Location is 

Radiation  to 

Rated at  / 10 

Described as 

Pattern 

Worsening factors: 

Alleviating factors: , 

Occupation: 



Associated symptoms: *Try using right-click for negatives*



















Contributing factors:









no history of: , , , , , 





EXAM:

Hip: 

Inspection: 

Palpation:  on 

Range of motion: 

- Flexion: 

- Extension: 

- Abduction: 

- Adduction: 

- Int rotation: 

- Ext rotation: 

Strength: , except  on  

Neurovascular: distal pulses , cap refill  sec, sensation 

Gait: , 





ASSESSMENT:

 

DDx: hip strain, hip contusion, hip fracture, hip dislocation, labral tear, muscle strain, trochanteric bursitis, septic arthritis, osteonecrosis of the hip, referred pain from the lumbar spine, lumbar radiculopathy, osteoarthritis of the hip, stress fracture, avascular necrosis, malignancy, sacroiliac joint disorder





PLAN:

Investigations:

- Hip X-ray

- CT scan of the hip

- MRI of the hip

- Pelvic X-ray

Treatments:

- Rest

- Ice application

- Activity as tolerated

- 

- 

- Physical therapy

-  for  

Further care:

- Referral to orthopedic surgeon

- Referral to rheumatologist

- Follow-up in  

- Return if pain worsens or if symptoms do not improve with treatment

HISTORY: Associated symptoms: EXAM: Hip: ASSESSMENT: PLAN:

Note copied!