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Previous Volume 330:1596-1598 June 2, 1994 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 61-year-old man with seropositive rheumatoid arthritis consulted his rheumatologist because of a three-week history of pain in the right hip.

My first concern would be to find out whether the hip pain is related to the rheumatoid arthritis. I would want to know whether the man's right hip was involved in the past and whether there was a history of recent trauma. If the patient had been treated with corticosteroids, I would wonder about aseptic necrosis of the hip or infection.

The pain was severe and localized to the right lateral iliac crest, with occasional radiation to the scrotum. . . . [Full Text of this Article]

Commentary

Source Information

From the Divisions of Clinical Decision Making and General Internal Medicine, New England Medical Center, Tufts University School of Medicine, Boston.

Address reprint requests to Dr. Pauker at New England Medical Center, Mailstop 35K9, Box 302, 750 Washington St., Boston, MA 02111.

References

This article has been cited by other articles:

• Kassirer, J. P. (1995). Teaching Problem-Solving -- How Are We Doing?. NEJM 332: 1507-1509 [Full Text]