History of Present Illness (HPI) and Past Medical History (PMH)
On November 27, 2022, a 70-year-old male with a history of bilateral
total hip arthroplasty (THA) presented to the orthopaedic urgent care
clinic with a chief concern of posterior right hip and low back pain
persistent over the previous 3 days. The patient noticed the pain after
going for a long walk on Thanksgiving Day. The patient denied any recent
trauma, injury, or falls. Additionally, he denied abdominal pain and
constitutional symptoms such as headache, fever, chills, nausea,
lightheadedness, or dizziness. The review of systems was unremarkable.
The patient’s past medical history is remarkable for hypertension,
hyperlipidemia, CAD, type 2 diabetes mellitus (T2DM), and PAD. Past
surgical history includes appendectomy (1972), vasectomy (1981),
coronary artery bypass graft (CABG) (2009), and bilateral THA (right
2014, left 2019). The patient’s medications include lisinopril,
atorvastatin, and metformin. The patient is allergic to penicillin
(hives) and red food dye. He denied any tobacco, alcohol, or illicit
drug use.