Trochanteric Bursitis
Age: years old
Gender:
HISTORY:
Presents with a - history of hip 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
, over ,
Contributing factors:
no history of: ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
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: ,
Lumbar spine: on , range of motion
ASSESSMENT:
DDx: hip bursitis, trochanteric bursitis, iliopsoas bursitis, septic hip bursitis, osteoarthritis of the hip, femoroacetabular impingement, labral tear, tendinitis, muscle strain, referred pain from the lumbar spine, lumbar radiculopathy, malignancy, avascular necrosis, hip fracture, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, sacroiliac joint disorder
PLAN:
Investigations:
- X-ray of the hip
- MRI of the hip
- Blood work: ,
Treatments:
-
-
-
- Steroid injection
- Physical therapy
- Limit activities that cause pain
- Ice application
- Weight loss counseling
Further care:
- Referral to orthopedic surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or swelling, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Hip: ASSESSMENT: PLAN: