RescueYou
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We got a call yesterday that ended up being very very minor. As medics, we're taught to at least attempt to diagnose obviously. For EMT-Bs, well, this was a BLS call so think on it.
The call:
17 year old athletic female.
No previous injuries.
Resp. 12, pulse 62.
Not pregnant, last period started March 17.
No fever so I assumed no infection anywhere.
Taking birth control and had been taking an overthecounter anti-inflammatory for the past week to help with the pain.
Chief complaint was left lateral hip pain. She said it had been burning slightly from the more posterior side of her left hip and felt like "it wraps around to the front and shoots a straight line of burning pain to my knee." After further questioning, we found that it hurt her more to lay down flat on her back than anything else. She rated her pain to be around 4. Pain did not change with palpation. She claimed the pain went from her posterior and lateral left side of her hip and down through her quad. she also said that it did not worsen upon physical activity. The pain did not spread into the abdomen or lower back.
My first thought was Bursitis. Xrays showed no deformities. She said she had been to the dr on Friday of last week and he had told her to stretch and heat. The doctor had said it was not bursitis and upon returning to the hospital later last night, I asked her physician if it was Bursitis. He said no. I never did get a response about her diagnosis so I'll ask later tonight.
It's a very minor call in my opinion, but it just struck me as odd. This is my very first hip patient other than one broken hip in an elderly man once. I just want your opinions as to what you think it might be?
The call:
17 year old athletic female.
No previous injuries.
Resp. 12, pulse 62.
Not pregnant, last period started March 17.
No fever so I assumed no infection anywhere.
Taking birth control and had been taking an overthecounter anti-inflammatory for the past week to help with the pain.
Chief complaint was left lateral hip pain. She said it had been burning slightly from the more posterior side of her left hip and felt like "it wraps around to the front and shoots a straight line of burning pain to my knee." After further questioning, we found that it hurt her more to lay down flat on her back than anything else. She rated her pain to be around 4. Pain did not change with palpation. She claimed the pain went from her posterior and lateral left side of her hip and down through her quad. she also said that it did not worsen upon physical activity. The pain did not spread into the abdomen or lower back.
My first thought was Bursitis. Xrays showed no deformities. She said she had been to the dr on Friday of last week and he had told her to stretch and heat. The doctor had said it was not bursitis and upon returning to the hospital later last night, I asked her physician if it was Bursitis. He said no. I never did get a response about her diagnosis so I'll ask later tonight.
It's a very minor call in my opinion, but it just struck me as odd. This is my very first hip patient other than one broken hip in an elderly man once. I just want your opinions as to what you think it might be?
h34r:
