Leg Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of leg pain
Onset was , started
Location is
Radiation to
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Associated symptoms: *Try using right-click for negatives*
, up to °, over
Contributing factors:
no history of: , , , ,
no use of: , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
Abdomen: , , ,
Skin: on
Extremities: , , cap refill sec, pulses , ,
Musculoskeletal: joints ,
Lumbar spine: on , range of motion
Hip: : on , range of motion
Knee: : on , range of motion
Ankle: : on , range of motion
Foot: : on , range of motion
ASSESSMENT:
DDx: sciatica, peripheral artery disease, deep vein thrombosis, muscle strain, lumbar radiculopathy, peripheral neuropathy, osteoarthritis, cellulitis, compartment syndrome, osteomyelitis, arthritis, gout, varicose veins, shin splints, tibial stress fracture, popliteal cyst, iliotibial band syndrome, neurogenic claudication, spinal stenosis, hip pathology, knee pathology, malignancy, complex regional pain syndrome
PLAN:
Investigations:
- X-ray
- MRI
- Doppler ultrasound
- CT-angio of the legs
- Bone scan
- Blood work: , , , , , ,
Treatments:
- Rest and elevation
- Heat or cold therapy
-
-
-
- Physical therapy
- Compression stockings
Further care:
- Referral to orthopedic surgeon
- Referral to rheumatologist
- Referral to vascular surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as swelling or redness, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: