© 2002 The Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Groin pain
Iatrogenic groin pain
Accident and Emergency Department, Whittington Hospital, Highgate Hill, London N19 5NF, UK
Correspondence to:
Correspondence to:
Mr Banerjee;
ashis.banerjee@whittington.nhs.uk
Accepted 29 May 2002
Answers on p 630.
| The first 150 words of the full text of this article appear below. |
A 52 year old man presented to the emergency department with progressive left groin pain radiating to the leg. He had attended hospital a week previously with low back pain, at which time no specific diagnosis had been made. There was no history of preceding trauma. The pain was persistent, severe, unrelieved by rest or with analgesics, and interfered with sleep. He was unable to bear weight on the affected limb owing to hip pain and a sensation of weakness. There was no history suggestive of sphincter dysfunction. There were no associated systemic symptoms. It was noted that he was on oral anticoagulation after aortic valve replacement.
On examination, he did not appear toxic. His vital signs were within normal acceptable limits. Tenderness was noted in the left groin, lateral to the femoral arterial pulsation. The left hip was held in slight flexion, and pain was produced on
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