Red Flag - case scenarios -WGU D223
WITHQUESTIONS AND WELL
VERIFIED ANSWERS
/. A 75 y.o. woman presents to the clinic with pain in her R groin/hip region. She states
that she recently fell while walking into the grocery store. During the gait analysis you
noticed that she stands in ER; her limb appears shortened.
What would you be concerned about? - Answer-✅Pathological Fracture of Femoral
Neck
/.An 8 y.o. boy with groin/thigh pain who complains when you move him into hip ABD/IR
is at risk for? - Answer-✅Pegg-Calves-Perthes Disease
/.A 48 y.o. woman presents to clinic with pain across her lower leg. She recently
scratched her leg while working out at the gym. You notice that there are advancing,
irregular margins of erythema and reddish streaks. What are you concerned about? -
Answer-✅Cellulitis
/.A 55 y.o. male reports to the clinic for back pain. He reports some unexplained weight
loss over the past 2 months and states that he occasionally has blood/black stool. Upon
palpation of his **abdomen**, he has tenderness. You decide to listen to his bowels and
you hear **nothing**. What type of disease do you start thinking about? - Answer-
✅Colon Cancer
/.48 y.o. woman reports to the clinic with gradual onset of pain that refers to her
groin/thigh area. Upon standing, she grimaces bc weight-bearing is so painful. During
your examination, you move her into flexion & IR and you notice how limited and stiff
she feels. She states that she suffered from the same injury on the contralateral hip 2
years ago. You ask the patient if she has had a history __________________ usage or
a recent trauma. What do you think this is? - Answer-✅Corticosteroid use
**Osteonecrosis of femoral head** (Avascular necrosis)
/.14 y.o. overweight boy comes to the clinic with complaints of pain in his groin region.
You notice that his leg is held in ER. Upon ROM, you find limitations w/ IR. What are
you suspecting? - Answer-✅Slipped Capital Femoral Epiphysis
/.What are the red flags for a DVT? - Answer-✅Recent
immobilization/surgery/pregnancy
Calf pain/edema/tenderness/warmth
, Calf pain intensified w/ standing or walking & relieved with rest/elevation
Possible pallor and loss of dorsalis pedis pulse
/.What are the red flags in a persons history for Peripheral Arterial Occlusive Disease? -
Answer-✅Age >60
Hx Type 2 diabetes
Hx of ischemic heart disease
Hx of smoking
sedentary
concurrent intermittent claudication
/.During the physical examination, you see red flags for a peripheral arterial occlusive
disease. What are these red flags? - Answer-✅Unilaterally cool extremity
Prolonged capillary refill time (>2s)
Decreased pulses in arteries below level of occlusion
Prolonged vascular filling time
Ankle-brachial index <.90
/.Your 23 y.o. patient recently began running. She complains about severe, persistent
leg pain. This pain is intensified when you go to stretch it.
You palpate and notice tenderness and swelling in the area. There's a palpable
tension/hardness in her R LE. What could this be? - Answer-✅Compartment syndrome
/.Pt. recently had surgery and reports that she had an infection while in the hospital. She
has joint tenderness & warmth upon palpation. She describes the pain as constant
aching/throbbing. What are you concerned about? - Answer-✅Septic arthritis
/.During your treatment session with a 46 y.o. man, he begins to have dyspnea, nausea,
palpitations, and chest pain. You are concerned with this bc he has a hx of smoking,
diabetes and elevated cholesterol. What are you thinking? - Answer-✅Myocardial
Infarction
/.A patient comes to the clinic after a MAJOR trauma (MVA). She's had a hx of oral
contraceptive use and she states that she has RA. You perform a neuro screen and find
(+) findings for Babinski & clonus. The patient is extremely dizzy and has vertigo w/
head & neck movements. What are you concerned about? - Answer-✅Cervical
Ligamentous instabilities w/ Possible Cord Compromise
WITHQUESTIONS AND WELL
VERIFIED ANSWERS
/. A 75 y.o. woman presents to the clinic with pain in her R groin/hip region. She states
that she recently fell while walking into the grocery store. During the gait analysis you
noticed that she stands in ER; her limb appears shortened.
What would you be concerned about? - Answer-✅Pathological Fracture of Femoral
Neck
/.An 8 y.o. boy with groin/thigh pain who complains when you move him into hip ABD/IR
is at risk for? - Answer-✅Pegg-Calves-Perthes Disease
/.A 48 y.o. woman presents to clinic with pain across her lower leg. She recently
scratched her leg while working out at the gym. You notice that there are advancing,
irregular margins of erythema and reddish streaks. What are you concerned about? -
Answer-✅Cellulitis
/.A 55 y.o. male reports to the clinic for back pain. He reports some unexplained weight
loss over the past 2 months and states that he occasionally has blood/black stool. Upon
palpation of his **abdomen**, he has tenderness. You decide to listen to his bowels and
you hear **nothing**. What type of disease do you start thinking about? - Answer-
✅Colon Cancer
/.48 y.o. woman reports to the clinic with gradual onset of pain that refers to her
groin/thigh area. Upon standing, she grimaces bc weight-bearing is so painful. During
your examination, you move her into flexion & IR and you notice how limited and stiff
she feels. She states that she suffered from the same injury on the contralateral hip 2
years ago. You ask the patient if she has had a history __________________ usage or
a recent trauma. What do you think this is? - Answer-✅Corticosteroid use
**Osteonecrosis of femoral head** (Avascular necrosis)
/.14 y.o. overweight boy comes to the clinic with complaints of pain in his groin region.
You notice that his leg is held in ER. Upon ROM, you find limitations w/ IR. What are
you suspecting? - Answer-✅Slipped Capital Femoral Epiphysis
/.What are the red flags for a DVT? - Answer-✅Recent
immobilization/surgery/pregnancy
Calf pain/edema/tenderness/warmth
, Calf pain intensified w/ standing or walking & relieved with rest/elevation
Possible pallor and loss of dorsalis pedis pulse
/.What are the red flags in a persons history for Peripheral Arterial Occlusive Disease? -
Answer-✅Age >60
Hx Type 2 diabetes
Hx of ischemic heart disease
Hx of smoking
sedentary
concurrent intermittent claudication
/.During the physical examination, you see red flags for a peripheral arterial occlusive
disease. What are these red flags? - Answer-✅Unilaterally cool extremity
Prolonged capillary refill time (>2s)
Decreased pulses in arteries below level of occlusion
Prolonged vascular filling time
Ankle-brachial index <.90
/.Your 23 y.o. patient recently began running. She complains about severe, persistent
leg pain. This pain is intensified when you go to stretch it.
You palpate and notice tenderness and swelling in the area. There's a palpable
tension/hardness in her R LE. What could this be? - Answer-✅Compartment syndrome
/.Pt. recently had surgery and reports that she had an infection while in the hospital. She
has joint tenderness & warmth upon palpation. She describes the pain as constant
aching/throbbing. What are you concerned about? - Answer-✅Septic arthritis
/.During your treatment session with a 46 y.o. man, he begins to have dyspnea, nausea,
palpitations, and chest pain. You are concerned with this bc he has a hx of smoking,
diabetes and elevated cholesterol. What are you thinking? - Answer-✅Myocardial
Infarction
/.A patient comes to the clinic after a MAJOR trauma (MVA). She's had a hx of oral
contraceptive use and she states that she has RA. You perform a neuro screen and find
(+) findings for Babinski & clonus. The patient is extremely dizzy and has vertigo w/
head & neck movements. What are you concerned about? - Answer-✅Cervical
Ligamentous instabilities w/ Possible Cord Compromise
