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Chapter: 2 / Q: 61
A 78-year-old overweight lady with a history of osteoarthritis of the right hip and a total hip replacement presents to accident and emergency. She tried to contact her GP but was unable to get an appointment. She is complaining of pain on the lateral aspect of her right leg and in her
Chapter: 2 / Q: 62
A 7-year-old boy is referred by the GP to the orthopaedic team for hip pain which has gradually developed over the past 4 hours. His mother notes that over the same time period he has developed a limp and is not keen on moving his leg and is insisting on being carried everywhere. Plain X-rays
Chapter: 2 / Q: 63
An 87-year-old gentleman was referred by the on-call general practitioner for review. He noted that the patient was a nursing home resident and had suffered a fall a week ago but was still complaining of right hip pain. During the past week he has been treated with regular analgesia
Chapter: 2 / Q: 64
A 49-year-old lady presents to accident and emergency 6 weeks after insertion of a hip resurfacing prosthesis. Since the operation she describes the hip as, ‘not ever being quite right’. In the 2 days prior to presentation she noticed increasingly bad pain in her right hip
Chapter: 2 / Q: 65
A 78-year-old man complains of left-sided hip pain. It has been present for the past 6 hours and is becoming increasingly painful to the point that he is unable to weight bear. His GP is called out to see him and notes a fever of 38ºC with pain on palpation of the hip joint and virtually
Chapter: 2 / Q: 66
A 43-year-old businessman presents to hospital after going for some drinks with colleagues from work. He is restless, stating that he doesn’t need to be in hospital and asking when he can go home. On examination he is tachycardic at 120 beats per minute with dilated pupils
Chapter: 2 / Q: 67
A 52-year-old man is admitted to hospital as he was found wandering the streets confused and ‘talking to himself’. He is well known to the local hospitals attending frequently with malnutrition and chest infections. On examination he has heavily injected conjunctiva, appears to be hearing
Chapter: 2 / Q: 68
A 62-year-old woman is brought to hospital having suffered a fall in the street. On arrival she is disorientated and complaining of chest pain. An ECG performed demonstrates a prolonged QT interval and U waves. On examination she exhibits a lateral gaze palsy and is very unsteady on her feet
Chapter: 2 / Q: 69
A 32-year-old woman is brought to accident and emergency found collapsed in a nearby residential estate. She is unconscious on arrival and paramedics are securing an endotracheal tube with 100% oxygen on arrival to hospital. Her blood pressure reading is 90/55mmHg on her left arm
Chapter: 2 / Q: 70
A 17-year-old high-school student is brought to hospital by his parents who were concerned about his recent strange behaviour. He was found in his room unable to move his legs and complaining that his room was all blurry. On arrival to hospital he is sweating, agitated and violent with a blood
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