Differential Diagnosis in PT, Part 08: Screening for Systemic Disease - The Hip and Groin (P)


This course is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. This section will review clues suggesting systemic or viscerogenic causes of hip and groin pain and dysfunction. This will include the vascular conditions, infectious or inflammatory causes and gynecologic and male reproductive system causes of hip and/or groin symptoms. 

A cognitive processing-reasoning orientation will be utilized throughout the course to encourage students to gather and analyze data, pose and solve problems, infer, hypothesize and form clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies will be used to integrate screening information in determining a physical therapy diagnosis and making decisions regarding intervention versus referral.

Screening problems in the hip and groin for systemic disease is the focus of this Part 8 of the series: Differential Diagnosis in Physical Therapy. The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction. 

Upon completion of this course, the Learner will be able to:
  • List possible causes of viscerogenic or systemic-induced hip and/or groin pain and dysfunction
  • List signs and symptoms of systemic origin affecting the hip and groin.
  • Describe pain patterns referred to the hip and/or groin originating from the viscera or diseases including: 
    • Cancer 
    • Gastrointestinal (GI) 
    • Vascular
    • Urologic/renal
    • Infectious/Inflammatory
    • Gynecologic
    • Neuromusculoskeletal
  • Recall special questions to ask men and women with significant risk factors, significant past medical history, suspicious clinical presentation and/or associated signs and symptoms
  • Identify conditions requiring medical referral
  • Name and use the three-part model of the screening process developed in previous sections of this course

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