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SCENARIO: A 20-yeаr-оld Olympic femаle ice hоckey аthlete repоrts to you complaining of left groin and hip pain. History She tells you that the pain has gradually become worse over the course of a month. She does not recall a specific mechanism of injury. Physical activity, especially intensive effort skating during practices, exacerbates her pain. She has also noticed that sitting for prolonged periods tends to aggravate her pain, especially when cycling. She did not make any substantial changes to her training regimen before experiencing this pain. Her primary complaint is pain that she describes as deep and spans along the anterior and lateral aspect of her hip. She reports that the pain periodically extends to her low back. However, she does not complain of any abnormal sensations other than an infrequent clicking when in deep positions of hip flexion, adduction, and internal rotation. After one week of persistent pain, she sought treatment from a massage therapist who performed trigger-point release and prescribed routine stretching of her hip flexors and adductors. This and taking a week off from training/practicing seemed to improve her condition. However, the pain resurfaced almost immediately after resuming training and practicing. She habitually ices her hip and groin or does a cryotherapy bath after each training/practice session but this has not significantly helped. Over the last two weeks she has elevated her use of OTC NSAIDs to help manage her pain, particularly with heavy training bouts. She recalls suffering from a femoral stress fracture a few years ago. However, she does not recall what that specific diagnosis was. AT RESPONSE: Based on the patient’s history, what corresponding conditions are you considering in the first step of differential diagnosis? DIRECTIONS: Bullet your individual text entries. Your entries must be concise, specific, and accurate. Your entries must include correct spelling. You may (and are encouraged) to use common abbreviations and acronyms linked to anatomical and medical terminology when appropriate.
After verifying yоur identificаtiоn (shоwing your ID аnd fаcial verification), students must go into the HonorLock chat and request that the facial recognition software be turned off. Students are required to use an external camera that displays a side view that captures their face, desk, and hands at all times. Students may use 1/2 sheet of 8.5" x 11" paper, one side, hand written for notes. This must be held up to the camera showing both sides at he beginning of the examination session. Failure to adhere will result in a grade of 0 for the exam. Students may have a graphing calculator for the exam that does not contain a computer algebra system. This must be held up to the camera at he beginning of the examination session. Failure to adhere will result in a grade of 0 for the exam. You should have about 3 sheets of of blank paper as scratch. All sheets of paper must be held up to the camera at he beginning of the examination session. Failure to adhere will result in a grade of 0 for the exam. Students may use the internet to access only StatKey (along with Honorlock and the examination through Brightspace) for the examination. Accessing any other websites during the examination is a violation of academic integrity and will result in a grade of 0 for the exam.