case2.
F/67
CC> pain, hip, bilateral.(onset;10YA
recent aggravation 2MA)
BHx> #1. DM있어 본원 신찬수선생님 외래 F/U
HTN, angina로 본원 오병희선생님 외래 f/u중
#2. 10YA 상기 증상 발생하였으며 2개월전 악화됨.
trauma(-) F/C(-/-)
with both buttock pain(+)& ant. thigh pain(not dermatomal)
PMHx> DM/HTN/Tb/Liver ds.;(+/+/-/-)
P/E> Patrick +/+
FC 30/10
FF 90/100
Abd90 30/40
IR 0/0
ER 20/30
SLR 80/80
MLT-/-
Sensory 100/100
motor hip flex 4+/4+
abd 4-/4+
Quad TA EPH FHL Triceps 5/5
circulation DPA ++/++
Imp> #1. 2' DA, hip rt>lt.
#2. DA, spine
Plan> THRA, Rt.
|
|
게시판 > 학술토론 
