NR 601 Week 4 Discussion Questions

NR 601 Week 4 Discussion Questions

NR 601 Week 4 Discussion Questions

Discussion Questions Part One

What risk factors does this patient have that might contribute to her hip pain?

• Her age

What ROS would you conduct on this patient?

• Constitutional symptoms: …
• Cardiovascular: …
• Respiratory: …
• Musculoskeletal: …
• Neurological: …
• Psychiatric: …

 

What is your primary diagnosis? What evidence-based resource and patient data supports this diagnosis?

• Unspecified osteoarthritis, unspecified site (ICD 10 code M19.90) – …

JOHN J. WILSON, MD, MS, and MASARU FURUKAWA, MD, MS, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. (2014, January). Evaluation of the Patient with Hip Pain. Retrieved November 15, 2016, from http://www.aafp.org/afp/2014/0101/p27.html

Svege, I., Fernandes, L., Nordsletten, L., Holm, I., & Risberg, M. A. (2016). Long-Term Effect of Exercise Therapy and Patient Education on Impairments and Activity Limitations in People with Hip Osteoarthritis: Secondary Outcome Analysis of a Randomized Clinical Trial. Physical Therapy, 96(6), 818-827.

Wilson, J. J., & Furukawa, M. (2014). Evaluation of the patient with hip pain. American Family Physician, 89(1), 27-34. Retrieved from: http://www.aafp.org/afp/2014/0101/p27.html

 

What two differential diagnoses are appropriate in this patient’s case? What evidence-based resource and patient data supports these two differential diagnoses?

• Trochanteric bursitis, (ICD 10 code M70.61) is inflammation of the trochanteric bursa, a part of the hip. …

Clinical trial number NCT01642043 for “Point-of-Care Ultrasound in Greater Trochanteric Pain Syndrome” at ClinicalTrials.gov

 

• Pseudogout and pyrophosphate arthropathy (ICD 10 code M11.2) is a rheumatologic disorder with …

Tsui FW (Apr 2012). “Genetics and mechanisms of crystal deposition in calcium pyrophosphate deposition disease”. Curr Rheumatol Rep. 14 (2): 155–60. doi:10.1007/s11926-011-0230-6. PMID 22198832

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What screening would you choose to best evaluate this patient’s chief complaint?

Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). (2015). Retrieved November 15, 2016, from http://www.rheumatology.org/I-Am-A/Rheumatologist/Research/Clinician-Researchers/Western-Ontario-McMaster-Universities-Osteoarthritis-Index-WOMAC