I Believe It Is Just A Strain - Page #1
 

Author: Marc Hilgers, MD, PhD
Co Author #1: Dexter Stallworth, MD University Diagnostic Institute Tampa
Editor: Angelie Mascarinas, MD

Patient Presentation:
A 45 year old female presents to the office with approximately 3 months of right anterior thigh pain.

History:
She is an avid runner and thinks she "just overdid it". She first noticed the pain while running and felt a pulling pain in her right anterior thigh that just has not gone away. She saw her primary care physician who performed an ultrasound exam and saw a hematoma in her quadriceps.
Past Medical History: negative
Past Surgical History: negative
Family History: Positive for cancer
Review of Systems: negative except for discomfort in the right thigh
Social History: Employed full time as a counselor. No alcohol. Never used tobacco. Exercises regularly.
Allergies: no known drug allergies
Medications: Advil as needed

Physical Exam:
45 year old African-American female, well nourished, well developed, in no apparent distress. Vital signs within normal limits. Musculoskeletla exam completely within normal limits except for tenderness on palpation over the right rectus femoris muslce. 

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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