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.