Lethal Leg Pain

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Lethal Leg Pain - Page #1

Author: Elizabeth Hill, DO Co Author #1: Carly Day, MD Patient Presentation: A 23 year old male presented to the sports medicine clinic for left leg pain of one month's duration. History: The pain started in his left lateral hip and gradually spread to his left lateral knee, with no back involvement. It was constant and crampy in nature. The intensity increased at night and ultimately brought him in for an evaluation. He denied trauma, prior injury or constitutional symptoms. He participated in recreational basketball but was unable to play 1 week prior due to pain. He was sober after years of polysubstance abuse, including intravenous drugs, with continued tobacco abuse. Family history was noncontributory. Physical Exam: He was well appearing, afebrile and vital signs were within normal limits. Lower extremity inspection was negative for ecchymosis or swelling. He was markedly tender to palpation along the left tensor fascia latae, iliotibial band, lateral femoral condyle and fibular head. Range of motion was normal at the hip, knee and spine. He was neurovascularly intact with normal muscle strength, reflexes and gait. FADIR was positive for mild lateral hip pain. Ober and FABER tests were negative. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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