Red Flag - case scenarios
14 y.O. Obese boy comes to the hospital with lawsuits of pain in his groin location. You note
that his leg is held in ER. Upon ROM, you discover obstacles w/ IR. What are you
suspecting? - ANS-Slipped Capital Femoral Epiphysis
48 y.O. Girl reviews to the health facility with slow onset of ache that refers to her groin/thigh
location. Upon standing, she grimaces bc weight-bearing is so painful. During your exam,
you pass her into flexion & IR and also you observe how constrained and stiff she feels. She
states that she suffered from the same damage at the contralateral hip 2 years ago. You ask
the affected person if she has had a records __________________ usage or a current
trauma. What do you observed this is? - ANS-Corticosteroid use
**Osteonecrosis of femoral head** (Avascular necrosis)
A 20 y.O. Male hockey player provides w/ a drooping R shoulder. You ask him to shrug his
shoulder, but his R one just won't budge. He reviews being hit over the shoulder with a
hockey stick. YOu're suspecting...?? - ANS-Spinal Accessory Nerve issues
A forty eight y.O. Girl affords to health center with ache across her lower leg. She recently
scratched her leg while operating out on the fitness center. You observe that there are
advancing, abnormal margins of erythema and reddish streaks. What are you worried
about? - ANS-Cellulitis
A fifty five y.O. Male reviews to the clinic for again pain. He reviews some unexplained
weight loss over the last 2 months and states that he on occasion has blood/black stool.
Upon palpation of his **abdomen**, he has tenderness. You determine to pay attention to his
bowels and also you hear **nothing**. What sort of sickness do you start thinking about? -
ANS-Colon Cancer
A 59 y.O. Man reports to the clinic with nagging shoulder pain. Upon palpation, he states that
it's miles very soft alongside the vertebral border of the scapula. This affected person has a
hx of smoking. You ask him if the pain has ever stepped forward to a burning nature down
the ulnar distribution. He states "sure." What are you questioning? - ANS-Pan coast's Tumor
A 75 y.O. Female affords to the health center with pain in her R groin/hip area. She states
that she these days fell even as walking into the grocery shop. During the gait evaluation you
observed that she stands in ER; her limb appears shortened.
What would you be concerned approximately? - ANS-Pathological Fracture of Femoral Neck
A guy with relevant PMH of normal IV drug use and HIV presents to your hospital with
lawsuits of lower back pain. You note hypomobile accessory motion in their spine upon
exam. What are you worried approximately? - ANS-Back associated infection
, A affected person comes to the health facility after a MAJOR trauma (MVA). She's had a hx
of oral contraceptive use and he or she states that she has RA. You carry out a neuro screen
and locate (+) findings for Babinski & clonus. The patient is extremely dizzy and has vertigo
w/ head & neck moves. What are you concerned approximately? - ANS-Cervical
Ligamentous instabilities w/ Possible Cord Compromise
A efficient cough and current hx of flu might positioned you on alert for ______ -
ANS-Pneumonia
An 8 y.O. Boy with groin/thigh ache who complains while you flow him into hip ABD/IR is at
chance for? - ANS-Pegg-Calves-Perthes Disease
During the physical exam, you see purple flags for a peripheral arterial occlusive disorder.
What are those purple flags? - ANS-Unilaterally cool extremity
Prolonged capillary top off time (>2s)
Decreased pulses in arteries below level of occlusion
Prolonged vascular filling time
Ankle-brachial index <.90
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? - ANS-Myocardial Infarction
How could you differentiate between unstable and stable angina? - ANS-Exercise, ask about
nitroglycerin
How would you differentiate between a peptic ulcer and cholecystitis? - ANS-A peptic ulcer
will be relieved with any kind of food (most food we consume is basic to alleviate acidic
stomach environment) and the pain will be localized at the R epigastric region.
Cholecystitis will worsen with ingestion of fatty foods and we be more diffuse in the R upper
abdominal quadrant + R scapula.
Living in a hot/humid environment is a risk factor for ______ - ANS-Kidney stones
Pt. Has a hx of traction force/blunt trauma to his shoulder. You ask him to perform flexion
and shoulder abduction, but he can barely hold it. Which nerve are you considering? -
ANS-Axillary nerve
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? - ANS-Septic arthritis
14 y.O. Obese boy comes to the hospital with lawsuits of pain in his groin location. You note
that his leg is held in ER. Upon ROM, you discover obstacles w/ IR. What are you
suspecting? - ANS-Slipped Capital Femoral Epiphysis
48 y.O. Girl reviews to the health facility with slow onset of ache that refers to her groin/thigh
location. Upon standing, she grimaces bc weight-bearing is so painful. During your exam,
you pass her into flexion & IR and also you observe how constrained and stiff she feels. She
states that she suffered from the same damage at the contralateral hip 2 years ago. You ask
the affected person if she has had a records __________________ usage or a current
trauma. What do you observed this is? - ANS-Corticosteroid use
**Osteonecrosis of femoral head** (Avascular necrosis)
A 20 y.O. Male hockey player provides w/ a drooping R shoulder. You ask him to shrug his
shoulder, but his R one just won't budge. He reviews being hit over the shoulder with a
hockey stick. YOu're suspecting...?? - ANS-Spinal Accessory Nerve issues
A forty eight y.O. Girl affords to health center with ache across her lower leg. She recently
scratched her leg while operating out on the fitness center. You observe that there are
advancing, abnormal margins of erythema and reddish streaks. What are you worried
about? - ANS-Cellulitis
A fifty five y.O. Male reviews to the clinic for again pain. He reviews some unexplained
weight loss over the last 2 months and states that he on occasion has blood/black stool.
Upon palpation of his **abdomen**, he has tenderness. You determine to pay attention to his
bowels and also you hear **nothing**. What sort of sickness do you start thinking about? -
ANS-Colon Cancer
A 59 y.O. Man reports to the clinic with nagging shoulder pain. Upon palpation, he states that
it's miles very soft alongside the vertebral border of the scapula. This affected person has a
hx of smoking. You ask him if the pain has ever stepped forward to a burning nature down
the ulnar distribution. He states "sure." What are you questioning? - ANS-Pan coast's Tumor
A 75 y.O. Female affords to the health center with pain in her R groin/hip area. She states
that she these days fell even as walking into the grocery shop. During the gait evaluation you
observed that she stands in ER; her limb appears shortened.
What would you be concerned approximately? - ANS-Pathological Fracture of Femoral Neck
A guy with relevant PMH of normal IV drug use and HIV presents to your hospital with
lawsuits of lower back pain. You note hypomobile accessory motion in their spine upon
exam. What are you worried approximately? - ANS-Back associated infection
, A affected person comes to the health facility after a MAJOR trauma (MVA). She's had a hx
of oral contraceptive use and he or she states that she has RA. You carry out a neuro screen
and locate (+) findings for Babinski & clonus. The patient is extremely dizzy and has vertigo
w/ head & neck moves. What are you concerned approximately? - ANS-Cervical
Ligamentous instabilities w/ Possible Cord Compromise
A efficient cough and current hx of flu might positioned you on alert for ______ -
ANS-Pneumonia
An 8 y.O. Boy with groin/thigh ache who complains while you flow him into hip ABD/IR is at
chance for? - ANS-Pegg-Calves-Perthes Disease
During the physical exam, you see purple flags for a peripheral arterial occlusive disorder.
What are those purple flags? - ANS-Unilaterally cool extremity
Prolonged capillary top off time (>2s)
Decreased pulses in arteries below level of occlusion
Prolonged vascular filling time
Ankle-brachial index <.90
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? - ANS-Myocardial Infarction
How could you differentiate between unstable and stable angina? - ANS-Exercise, ask about
nitroglycerin
How would you differentiate between a peptic ulcer and cholecystitis? - ANS-A peptic ulcer
will be relieved with any kind of food (most food we consume is basic to alleviate acidic
stomach environment) and the pain will be localized at the R epigastric region.
Cholecystitis will worsen with ingestion of fatty foods and we be more diffuse in the R upper
abdominal quadrant + R scapula.
Living in a hot/humid environment is a risk factor for ______ - ANS-Kidney stones
Pt. Has a hx of traction force/blunt trauma to his shoulder. You ask him to perform flexion
and shoulder abduction, but he can barely hold it. Which nerve are you considering? -
ANS-Axillary nerve
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? - ANS-Septic arthritis
