Round # 18
A 78 y.o. man presents to the ER complaining of progressively debilitating bilateral groin pain. The patient describes the pain as deep and aching, and wakes him up at night. He reports that it became acutely worse in the last 3 days, making it hard for him to ambulate or bear weight. He participated in a low-impact senior aerobics class at a local community center 4 days ago. He denies any recent weight loss, fevers, chills, night sweats, or other somatic symptoms. He takes no medications. On exam, he is a thin man who appears uncomfortable. He has mild tenderness to palpation in the inguinal area bilaterally, and has normal range of hip motion. He does wince with pain on extreme internal and external rotation of the hip.
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ACR 2007 Highlights
Pathophysiology 2007