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Hip Osteoarthritis follow-up

Age:  years old

Gender: 



HISTORY:

Returns for a  hip  follow-up

Last visit was   ago

Progress since last visit: 



Updates on symptoms:





















Physical activity changes: , 

Medication tried: , , , , , , 

Injections: , , , 

Physical therapy: , 

Supportive devices used: 

X-ray: 





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 osteoarthritis, trochanteric bursitis, iliopsoas bursitis, femoroacetabular impingement, labral tear, hip tendinitis, muscle strain, meralgia paresthetica, referred pain from the lumbar spine, lumbar radiculopathy, malignancy, avascular necrosis, hip fracture, pubic ramus fracture, sacroiliac joint disorder, septic arthritis, gout, stress fracture, snapping hip syndrome





PLAN:

Investigations:

- Hip X-ray

Treatments:

- 

- 

- Physical therapy

- Physiotherapy exercises

- Imaging-guided intra-articular hip injection

- Use of assistive devices

- Weight loss counseling

Further care:

- Referral to orthopedic surgeon for joint replacement evaluation

- Follow-up in  months

- Return if pain worsens or new symptoms develop

HISTORY: EXAM: Hip: ASSESSMENT: PLAN:

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