Author: Katie Noble, Jennifer Cochrane / Editor: Nick Tilbury / Reviewer: Lisa Sibthorpe / Codes: DP1, DP2, IP1, MuP2, SLO1 / Published: 15/10/2020 / Reviewed: 23/03/2026
A 33-year-old female presents to the Emergency Department (ED) with a three month history of worsening atraumatic right hip pain. Pain is exacerbated by weightbearing and movement, and current analgesia from her GP is no longer effective. She also reports increasing fatigue and generalised joint stiffness of several months duration – particularly in the mornings. Her past medical history includes thyroiditis and a DVT during pregnancy 2 years ago.
On examination, she has a tender right hip, the joint is not hot or erythematous and there is no obvious effusion compared to the right. She has a restricted range of movement in all directions and an antalgic gait.
Observations: RR 16, sats 100% on air, HR 92, BP 120/80, Temp 38.3
6 responses
Very interesting
BRILLIANT
Great case
Nice
Very Informative
Good learning