2
Red Flag D223 - case scenarios Exam with verified detailed
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answers
A 75 y.o. woman presents to the clinic with pain in her R groin/hip region. She states that
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she recently fell while walking into the grocery store. During the gait analysis you noticed
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that she stands in ER; her limb appears shortened.
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What would you be concerned about? - ✔✔Pathological Fracture of Femoral Neck
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An 8 y.o. boy with groin/thigh pain who complains when you move him into hip ABD/IR is
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at risk for? - ✔✔Pegg-Calves-Perthes Disease
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A 48 y.o. woman presents to clinic with pain across her lower leg. She recently scratched her
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leg while working out at the gym. You notice that there are advancing, irregular margins of
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erythema and reddish streaks. What are you concerned about? - ✔✔Cellulitis
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A 55 y.o. male reports to the clinic for back pain. He reports some unexplained weight loss
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over the past 2 months and states that he occasionally has blood/black stool. Upon
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palpation of his **abdomen**, he has tenderness. You decide to listen to his bowels and you
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hear **nothing**. What type of disease do you start thinking about? - ✔✔Colon Cancer
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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
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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
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ask the patient if she has had a history __________________ usage or a recent trauma.
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What do you think this is? - ✔✔Corticosteroid use
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**Osteonecrosis of femoral head** (Avascular necrosis) || || || || ||
, 2
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? - ✔✔Slipped Capital Femoral Epiphysis || || || || ||
What are the red flags for a DVT? - ✔✔Recent immobilization/surgery/pregnancy
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Calf pain/edema/tenderness/warmth
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Calf pain intensified w/ standing or walking & relieved with rest/elevation
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Possible pallor and loss of dorsalis pedis pulse
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What are the red flags in a persons history for Peripheral Arterial Occlusive Disease? -
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✔✔Age >60 ||
Hx Type 2 diabetes
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Hx of ischemic heart disease
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Hx of smoking
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sedentary
concurrent intermittent claudication || ||
During the physical examination, you see red flags for a peripheral arterial occlusive
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disease. What are these red flags? - ✔✔Unilaterally cool extremity
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Prolonged capillary refill time (>2s) || || || ||
Decreased pulses in arteries below level of occlusion
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Prolonged vascular filling time || || ||
Red Flag D223 - case scenarios Exam with verified detailed
|| || || || || || || || || ||
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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔Corticosteroid use
|| || || || || || || ||
**Osteonecrosis of femoral head** (Avascular necrosis) || || || || ||
, 2
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? - ✔✔Slipped Capital Femoral Epiphysis || || || || ||
What are the red flags for a DVT? - ✔✔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? -
|| || || || || || || || || || || || || || ||
✔✔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? - ✔✔Unilaterally cool extremity
|| || || || || || || || ||
Prolonged capillary refill time (>2s) || || || ||
Decreased pulses in arteries below level of occlusion
|| || || || || || ||
Prolonged vascular filling time || || ||
